- Date
- 11/8/2023
- Report number
- 00295844-AP-249558
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- The facility failed to implement interventions and appropriately care plan regarding Alleged Victim’s (AV) known fall risk. AV has a history of unsteady gait and shuffling their feet while walking and has multiple documented falls. According to an investigation, on or about November 7, 2023, AV was walking in the courtyard and fell, resulting in a skin tear to his/her right palm, left knee and discoloration on right knee. AV had another fall on or about November 8, 2023, while walking out to the dining area, which resulted in a swollen wrist/hand and a skin tear on left elbow. The facility failed to implement interventions to mitigate AV’s increasing fall risk, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP24-00148 $1125.00 fine assessed