- Date
- 9/25/2024
- Report number
- 00357364-AP-307680
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) is a known fall risk and was care planned to have a lap buddy on his/her wheelchair to prevent falls. AV is known to remove the lap buddy themselves, and staff are to ensure the lap buddy is in place while AV is in his/her wheelchair. AV had taken the lap buddy off earlier in the day, and staff had replaced it. On or about September 25, 2024, AV experienced a fall from his/her wheelchair. AV was not harmed, however, AV was placed at risk for serious harm. According to video footage, AV removed the lap buddy again, approximately an hour and a half prior to the fall. The facility's failure to ensure AV's care plan was followed to have the lap buddy in place is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP25-00493 $225.00 fine assessed