- Date
- 8/13/2024
- Report number
- 00348553-AP-298964
- Type
- Abuse: Neglect
- Level
- 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- According to the documentation, the facility failed to follow the care plan to put on non-skid socks or shoes for the Alleged Victim’s (AV) known fall risk. From approximately July 22, 2024, through August 02, 2024, the AV experienced approximately three falls. The interventions implemented was to ensure the AV was always wearing shoes or non-slipped socks to prevent falls. On or about August 13, 2024, the AV was in the dining room folding laundry in the dining room wearing one non-slip sock and one regular sock. The AV then slipped and fell, causing hip pain. The AV was sent to the hospital for evaluation. The AV sustained a fractured hip which required surgery, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP24-01216 $1500.00 fine assessed