Violation Details: 00342349-AP-292990

Date
7/15/2024
Report number
00342349-AP-292990
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) relies on the facility for his/her care and is documented as a fall risk. According to an investigation, AV had a history of repeated falls, some with injury. On or about July 15, 2024, AV was found on the floor with a skin tear/abrasion on AV’s elbow. The facility failed to implement effective interventions to mitigate AV’s increasing fall risk and provide a safe environment for AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-00140 $375.00 fine assessed