- Date
- 8/8/2024
- Report number
- 00347546-AP-297927
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- Prior to August 6, 2024 Alleged Victim (AV) was independent with ambulation. According to staff, AV placed themself on the floor the night of approximately August 5, 2024, and stayed on the floor until approximately 8:44 am the next morning August 6, 2024. AV was found to have an altered mental status, multiple abrasions, and skin tears over h/h body. AV was sent to the emergency room on August 6, 2024, for evaluation and admitted. AV was diagnosed as having muscle tissue breakdown from being down on the ground for an extended period of time. The injuries appeared to be likely due to AV falling out of bed and being left on the floor. Facility Documentation was drafted six days after AV was out of the facility, reported as a late entry but stated the start date of AV placing themselves on the floor was prior to AV being found on the floor. There is no indication that AV was being assisted off of the floor or being checked on throughout the night of August 5, 2024, given the severity of AV's injuries. The facility failed to provide a safe environment for AV, which resulted in multiple abrasions and muscle tissue breakdown on August 5, 2024, when AV was left on the floor, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- RCFCP25-00211 $1500.00 fine assessed