- Date
- 4/28/2024
- Report number
- 00327751-AP-279165
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide service
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) relies on the facility for care and is a known fall risk. On or about April 28, 2024, AV had unexplained discoloration to AV's left leg. AV had shown a pattern of recent falls, due to trying to self-transfer and propel self in the AV's wheelchair. According to an investigation, the facility failed to implement new interventions after AV's unwitnessed injury falls on April 17, 2024, and April 18, 2024, to mitigate the risk of AV's continued falls. The facility failed to provide services, to include implementing interventions to mitigate AV’s increasing fall risk and ensure resident safety, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP25-01320 $375.00 fine assessed