- Date
- 12/8/2023
- Report number
- 00300698-AP-254006
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to provide appropriate staffing
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) has a history of falls. AV is known to wander the halls during typical sleeping hours in the facility, and during this time is when AV has his/her falls. One of the fall prevention's put into place was to increase staff to monitor AV while he/she was wandering during the night. On or about December 8, 2023, another resident alerted staff that AV had fallen. AV was found in the dining room, face down with a cut over his/her left eyelid and swelling to his/her face. AV was sent to the emergency room where he/she received laceration repair to his/her eyelid and was diagnosed with a head injury. The facility failed to implement interventions to reduce AV's known fall history and ensure enough staff were working to ensure monitoring and supervision of AV to ensure his/her safety. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP24-00620 $375.00 fine assessed