- Date
- 3/13/2024
- Report number
- 00320491-AP-272341
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) is a fall risk and has a history of falls. According to an investigation, on or about February 21, 2024, the AV had an unwitnessed fall resulting in a laceration to the head. The AV fell again on or about March 13, 2024, again resulting in an injury to the head. The AV’s wound became infected, causing AV serious pain, discomfort, and requiring an emergency department visit and medications to manage the pain and infection. The facility failed to provide appropriate services according to the AV’s needs, relating to care planning and lack of appropriate interventions, to mitigate the risk of injury due to AV's falls, which is a violation of resident rights, is neglect of care which constitutes abuse.
- Sanction
- RCFCP25-00735 $450.00 fine assessed