Violation Details: 00407111-AP-358179

Date
5/10/2025
Report number
00407111-AP-358179
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide or maintain resident care equipment
Result
Substantiated
Findings
The Alleged Victim (AV) is a fall risk with a history of falls. The AV is care planned for a pressure pad alarm on their bed and wheelchair. According to an investigation, on or about May 7th, 2025, it was identified the AV's pressure pad alarm was not functioning. On May 10th, 2025, the AV had two falls, placing them at risk of harm. The alarm was found in place at the time of the falls, but not working. The facility failed to ensure the AV's equipment was in good repair and functioning, which is a violation of resident’s rights, is neglect of care, and constitutes abuse.
Sanction
RCFCP25-01342 $188.00 fine assessed