- Date
- 3/29/2024
- Report number
- 00322319-AP-274030
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- Alleged Victim (AV) is a high fall risk. AV has increased confusion at times and does not call for staff assistance or wait for staff to arrive to help h/h. On or about March 30, 2024, AV was found on the floor by AV’s bed. AV attempted to transfer out of the bed independently. There were no additional interventions in place after the second fall by AV on March 29, 2024. Facility was aware of the recent fall history including falls on March 22, 2024, March 28, 2024, and twice on March 29, 2024, and did not implement additional interventions to prevent AV from falling on 03/30/2024. The facility failed to appropriately care plan and implement reasonable interventions to address AV’s ongoing falls, which is violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP24-00820 $188.00 fine assessed