- Date
- 1/31/2024
- Report number
- 00311086-AP-263627
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- The facility failed to appropriately care plan related to the Alleged Victim's (AV) care needs. The failure resulted in AV experiencing an unwitnessed fall on or about January 31, 2024, in which AV was found wrapped in blankets on the floor next to his/her bed. Based on facility documentation and interviews, AV's care plan does not mention a fall mat; however, AV normally has a fall mat due to having a history of falls and being a fall risk. AV's fall mat was not present at time of AV's fall because staff moved the fall mat to another resident's room. The facility's failure caused AV unreasonable discomfort which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP24-00459 $500.00 fine assessed