Violation Details: 00432932-AP-384852

Date
10/13/2025
Report number
00432932-AP-384852
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to properly plan care
Result
Substantiated
Findings
According to the documentation, the facility failed to properly care plan appropriate interventions for the Alleged Victim’s (AV) known fall risk. From approximately October 01, 2025, through October 10, 2025, the AV suffered about three (3) falls. On or about October 13, 2025, AV was found in their room on the floor an unable to get up or bare weight on their left leg. The AV was sent to the hospital and was diagnosed with a fractured left hip. The failure to implement appropriate interventions to prevent the AV’s falls is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-01338 $1125.00 fine assessed