- Date
- 11/4/2024
- Report number
- 00364189-AP-335267
- 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 is care planned to have frequent safety checks, toileting care 6 times per shift, standby assist for transfers and have a pressure pad alarm in place while AV was in bed. On or about November 4, 2024, at approximately 1:20 am, another resident alerted staff that AV had fallen. AV suffered two abrasions to his/her back during the fall. AV's last safety check was performed at 12:00 am. AV's pressure pad alarm was not in place and did not alert staff to AV being up. The facility's failure to follow the care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP25-00237 $375.00 fine assessed