- Date
- 9/10/2024
- Report number
- 00353907-AP-307941
- 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 a known fall risk and has a history of falls with and without injury. On or about September 29, 2024, AV had an unwitnessed fall in his/her bathroom, suffering a skin tear to his/her upper arm. AV's pressure pad alarm was not on at the time of the fall, therefore staff were not alerted that AV was out of bed. The facility's failure to ensure AV's pressure alarm was on placed AV at risk for serious harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP24-01242 $676.00 fine assessed