Violation Details: 00393576-AP-344215

Date
4/4/2025
Report number
00393576-AP-344215
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 his/her care. AV's care planned fall interventions included for staff to conduct regular inspections of AV's living areas to identify and mitigate any fall hazards and maintain clear pathways. According to an investigation, on or about April 4, 2025, AV's room had boxes on the floor near the door and AV fell near the door after tripping, resulting in multiple facial fractures and skin injuries. The facility failed to follow the care plan, which is a violation of resident’s rights, is neglect of care and constitutes abuse.
Sanction
RCFCP25-00979 $500.00 fine assessed