- Date
- 3/20/2025
- Report number
- 00390504-AP-341123
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to provide service
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) was a fall risk, had a history of falls, and was care planned for one-on-one caregiving due to high risk of falls. According to an investigation, on or about March 20, 2025, the facility did not have a one-on-one caregiver assigned to the AV. The AV got up got up an ambulated independently and experienced a fall, resulting in a head injury and AV to become unconscious. The facility failed to provide appropriate services, which is a violation of resident’s rights, is neglect of care, and constitutes abuse.
- Sanction
- RCFCP25-00797 $1125.00 fine assessed