- Date
- 1/18/2024
- Report number
- 00307155-AP-260098
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- According to the documentation, the facility failed to properly care plan appropriate fall interventions for the Alleged Victim’s (AV) repeated falls. From approximately December 27, 2023, through January 18, 2024, the AV experienced approximately four (4) falls with no new fall interventions. On February 03, 2024, the AV complained of back pain and on February 4, 2024, S/he was witnessed by staff to have difficulty standing up, so they sent them to the hospital for assessment. The AV received a diagnosis of a compression fracture and hospital documentation shows the compression fracture is consistent with the AV’s recent falls, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP24-00648 $1125.00 fine assessed