Violation Details: 00406492-AP-357576

Date
4/5/2025
Report number
00406492-AP-357576
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to properly plan care
Result
Substantiated
Findings
The Alleged Victim (AV) relies on the facility for their care and is identified as a fall risk. According to an investigation, the AV experienced approximately six falls between the timeframe of April 4, 2024, and June 4, 20245, resulting skin tears, head injuries, and repeated unreasonable discomfort. The facility failed to provide appropriate services according to the AV needs, relating to care plans and lack of appropriate interventions and instructions, to mitigate the risk of injury due to AV's increase in falls, which is a violation of resident rights, is neglect of care, and constitutes abuse.
Sanction
RCFCP25-01006 $500.00 fine assessed