Violation Details: 00354063-AP-304387

Date
9/10/2024
Report number
00354063-AP-304387
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to properly plan care
Result
Substantiated
Findings
Alleged Victim’s (AV’s) service plan dated August 11, 2024, sates he/she has a pattern of falls, but it also states, AV is NOT a fall risk at this time. On or about September 10, 2024, AV was found on the floor by staff after an unwitnessed fall. As a result of the fall, AV was sent to the ER and was found to have sustained a fractured shoulder. The facility failed to service plan and mitigate AV’s risk of falls, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP25-00379 $1125.00 fine assessed