- Date
- 7/18/2024
- Report number
- 00344304-AP-295224
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- Alleged Victim (AV) had a progressive brain disorder that caused memory loss, confusion and other cognitive decline. Between May 15, 2024, and June 22, 2024, AV fell seven (7) times. Four (4) of the seven (7) falls resulted in injury to AV including skin tears to different body parts. Facility staff needed to be outside when there was a resident in the wander yard that was a fall risk. On June 20, 2024, at 12:00 pm, AV fell in the wander yard. There was no facility staff present. On July 18, 2024, AV was found lying on the sidewalk outside. There was no indication if where any staff was out with the AV when he/she was found lying on the sidewalk. The facility failed to provide a safe environment for AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- RCFCP25-01275 $500.00 fine assessed