Violation Details: 00378091-AP-328510

Date
1/15/2025
Report number
00378091-AP-328510
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide oversight and monitoring of change of condition
Result
Substantiated
Findings
The Alleged Victim (AV) is a known fall risk and has an unsteady gait. On or about January 16, 2025, AV returned from the hospital after a fall the previous day, at 4:30 AM. At Approximately 6:30 AM, AV was found on the ground by his/her bed. Later that same day, approximately 12 hours later, AV was found in his/her bed and unconscious. AV was sent out to the hospital for treatment. The facility's failure to address AV's change of condition is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-00398 $1000.00 fine assessed