- Date
- 6/19/2024
- Report number
- 00337812-AP-288694
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) relies on the facility for his/her care. AV has a history of repeated falls, many with injury, and the fall risk interventions noted after the falls to either be in place already and reused, or nonexistent. According to an investigation, on or about June 19, 2024, AV had a fall while attempting to self-transfer, resulting in skin tear. The facility filed to implement effective interventions to mitigate AV's increasing fall risk, provide a safe environment for AV, and caused AV repeated unreasonable discomfort, which is a violation of resident rights, is considered neglect of care, and constitutes abuse.
- Sanction
- RCFCP25-00192 $1125.00 fine assessed