- Date
- 1/13/2024
- Report number
- 00308373-AP-261121
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) had a history of falling out of bed. AV was care planned to have a wedge and a call system in place to assist with safety. On or about January 13, 2024, AV was experiencing more anxiety than usual and was trying to get out of bed. AV is prescribed an as needed anxiety medication. On that same evening, AV was found on the floor in his/her room, it is assumed AV fell from bed. AV was given his/her anxiety medication after the fall instead of earlier in the evening when he/she was experiencing the anxiety. AV's care plan does not address AV's anxiety and agitation. If the care plan had noted it, it may have lead staff to ensure AV received the anxiety medication earlier. The facility's failure to properly care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP24-00607 $500.00 fine assessed