Oceania Care Company Limited breached the Code of Health and Disability Services Consumers' Rights due to inadequate care, leading to a respite resident's fall and death.

Oceania Care Company Limited breached the Code of Health and Disability Services Consumers' Rights for inadequate care provided to a respite resident, who experienced a fall and passed away. The Aged Care Commissioner found the company failed to conduct a falls risk assessment, adequately respond to the resident's deteriorating condition, and maintain proper record-keeping. The company has since made changes and the commissioner has recommended formal apologies to the family.