Violation Details: 00305031-AP-347065

Date
12/14/2023
Report number
00305031-AP-347065
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
The Alleged Victim (AV) relies on the facility for care, is a fall risk, and is care planned for staff to monitor AV to optimize safety. According to an investigation, on or about December 14, 2023, AV was observed to be wandering around the facility. Staff attempted to redirect AV, but AV wanted to be left alone. A short time later AV was found outside in the courtyard on their knees from an unwitnessed fall, resulting in AV hurting their finger. The facility failed to follow AV's care plan to monitor AV for safety, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-00545 $500.00 fine assessed