- Date
- 5/19/2024
- Report number
- 00338764-AP-289569
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) is dependent on facility staff to meet his/her care needs, has a history of falls and is care planned for stand-by assistance for transfers and frequent safety checks. AV had five falls in in one month. According to an investigation, on or about May 21, 2024, AV was found on the floor, was experiencing pain and bleeding, and was transported to the hospital. AV's service plan did not have effective interventions to address the frequent falls. The facility failed to ensure fall interventions were service planned and communicated to staff, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP24-00922 $250.00 fine assessed