- Date
- 12/29/2024
- Report number
- 00374394-AP-324752
- 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 care planned as a two person transfer. On or about December 29, 2024, a staff member was assisting AV with transferring. Staff did not follow AV's care plan to transfer AV with two staff members. During the transfer, AV suffered a fall, hitting his/her head and suffering a skin tear to his/her hand. The facility's failure to ensure AV's care planned was followed placed AV at harm. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP25-00591 $188.00 fine assessed