- Date
- 11/24/2024
- Report number
- 00368419-AP-318666
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) relies on the facility for care, has a history of falls, and is care planned for staff to remind AV to use their walker. According to an investigation, on or about November 24, 2024, AV was seen by facility staff to be up in AVs room without using AVs walker. Facility staff were on their way to do another task and did not stop to remind AV to use their walker per the care plan. Approximately 5 minutes later AV was found on the floor after falling. AV was sent to the hospital where AV was diagnosed with a urinary tract infection and ultimately a fractured hip that required surgery. The facility failed to follow AV's care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP25-00425 $1125.00 fine assessed