- Date
- 7/9/2025
- Report number
- 00413130-AP-364315
- 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 care and is care planned for staff assistance for bathing, dressing and toileting. On or about June 3, 2025, AV was observed limping, appeared to be uncomfortable while ambulating, and told staff they were in pain and thought they fell. AV was given pain medication, and it was documented that AV had bruising on both elbows. On or about June 7, 2025, AV was observed to be unstable and struggling to take steps, and staff discovered a dark purple bruise on AV's hip and buttocks. AV was sent to the hospital due to left hip pain. According to an investigation, there was no interim service plan (ISP) created to monitor AV for pain and discomfort between June 3, 2025, and June 7, 2025, and no bruising was documented during that time despite care staff helping AV with daily dressing and a shower. The facility failed to provide appropriate services, to include properly care planning and/or implementing interventions, change of condition monitoring and timely medical treatment, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP26-00368 $1500.00 fine assessed