Violation Details: 00375285-AP-325726

Date
12/31/2024
Report number
00375285-AP-325726
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide service
Result
Substantiated
Findings
The Alleged Victim (AV) relies on the facility for care, is a fall risk, and is care planned for staff to monitor AV when in common areas and to remind AV to use their walker. According to an investigation, on or about December 31, 2024, AV was wandering around the facility without their walker. There were no staff monitoring AV, and AV ultimately fell, resulting in blunt head injury, contusion of right knee, skin tear right upper arm. The facility failed to provide services, to include following AV's care plan and monitoring AV for safety, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-00631 $1125.00 fine assessed