- Date
- 10/14/2023
- Report number
- 00291011-AP-244965
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) is a known fall risk. AV's service plan states he/she is independent with ambulation and assistance with transfers, which is a conflict with AV's service plan notes that state he/she is a fall risk. AV has a history of getting out of bed often at night, but is not documented or addressed in AV's service plan. On or about October 14, 2023, AV suffered a fall in his/her room, causing a head laceration, which required staples. The facility's failure to properly care plan for falls is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP24-00012 $1125.00 fine assessed