- Date
- 3/30/2024
- Report number
- 00325660-AP-277179
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- Alleged Victim (AV) has a history of falls. AV's Service Plan indicates AV needs 1-person standby assistance to transfer and use AV's manual wheelchair, to offer toileting assistance to AV with each interaction and to remind AV to stay seated until staff can assist with transfer. On or about March 30, 2024, Alleged Perpetrator 2 (AP2) worked h/h first shift at the facility. The facility did not provide training or orientation to AP2 prior to AP2's first shift on or about March 30, 2024. The facility did not give AP2 access to AV's Service Plan or time to review AV's Service Plan prior to AP2's first shift on or about March 30, 2024. On or about March 30, 2024 AV asked AP2 for assistance to the restroom, AP2 left AV without assisting, and AV attempted to self-transfer and fell.
The allegation that AP2 failed to follow care plan was investigated and the determination was not substantiated. The facility failed to follow the care plan and provided appropriate supervision and training to AP2 which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP24-01113 $375.00 fine assessed