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A California nursing home has been fined $100,000 by the state health department following the death of a resident who fell while getting out of bed.

Holiday Manor Care Center in Canoga Park, CA, was found to have several deficiencies in the way the staff supervised the resident, who was known to be at risk of falling. The resident attempted rise out of bed without supervision on September 8, 2014, and was found by staff on the ground. She died nine days later of brain hemorrhaging and blunt force head trauma.

The $100,000 fine is classified as an “AA” citation, or a violation that was “determined to have been a direct proximate cause of death of a patient or resident of a long term care facility,” according to the California Department of Public Health. AA citations are the most severe penalties given by the CDPH.

Attorneys representing Holiday Manor said the facility is appealing the fine.

“We strongly disagree with the citation issued by the California Department of Public Health,” according to a statement obtained by the Los Angeles Daily News. “Therefore, the decision has been made to appeal this citation. It is the goal of Holiday Manor Care Center to provide quality care to individuals afflicted with Alzheimer’s and dementia.”