- Date
- 1/26/2025
- Report number
- 00380965-AP-331520
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- Alleged Victim (AV) is known to be a high fall risk. Between January 28th and 29th, 2025, AV had two (2) falls. Witnesses were under the impression that AV was independent with his/her ambulation despite the frequent falls. AV’s 1-1 caregivers were not told that AV’s care consisted of or what care to provide to AV to prevent falls. The facility failed to put appropriate and/or sufficient interventions into place to address AV’s falls, which placed AV at risk of harm, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- RCFCP25-00708 $1501.00 fine assessed