- Date
- 3/4/2024
- Report number
- 00321323-AP-273196
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- On March 27, 2024, ODHS Adult Protective Services (APS) initiated investigation #00321323 and issued a written investigation report, which is incorporated here by reference. Alleged Victim (AV) lived at Respondent’s facility. The AV was identified as being at risk for falls per their service plan. On or about March 4, 2024, the AV fell from their bed, sustaining a laceration to the eyebrow and nose. At the time of the incident, AV's fall mat, an intervention outlined in the AV’s fall risk plan, was missing from the AV’s room. Based on documentation and interviews, the facility failed to follow AV's required fall risk interventions, contributing to the incident. The facility's failure to follow AV's care plan is a violation of resident rights, is considered neglect of care, and constitutes abuse.
- Sanction
- RCFCP25-01430 $1125.00 fine assessed