- Date
- 8/12/2025
- Report number
- 00419838-AP-371201
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- Alleged Victim (AV) relies on the facility for h/h care. AV has a history of falls, is considered a high fall risk and had 7 falls since May 2025. On or about August 12, 2025, AV fell and complained of pain and guarding and swelling of AV's wrist. AV was transported to the hospital and diagnosed with a fracture wrist. At the time of AV's fall on August 12, 2025, interventions in place were not effectively preventing AV from falling and injuring AV's self; AV had falls on July 2, 2025, and August 1, 2025, with no new fall interventions added. The facility failure to adjust the service plan after each fall, lead to continued falls and injury, which is a violation of resident
- Sanction
- RCFCP25-01400 $1125.00 fine assessed