- Date
- 1/3/2025
- Report number
- 00362590-AP-312843
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) relies on the facility for his/her care and is a known fall risk. Between March 31, 2024 and January 3, 2025 AV has had numerous falls, some resulting in injury, to include hitting his/her head, skin tears, bruising, and scrapes. At least seven (7) of the falls include AV's wheelchair and it was noted the wheelchair brakes did not work, however the wheelchair was not replaced for multiple months. The facility failed to appropriately care plan and implement reasonable interventions to address AV’s falls, resulting in repeated unnecessary discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP25-00411 $1500.00 fine assessed