Violation Details: 00080107-AP-059361

Records Request Print
Date
4/11/2020
Report number
00080107-AP-059361
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide service
Result
Substantiated
Rule(s) Violated
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
External site: 411-054-0070(1)
Findings
The facility failed to provide appropriate care to the Alleged Victim (AV) when his/her pressure alarm went off alerting staff he/she was attempting to transfer. According to documentation, the facility was not staffed appropriately and could not provide assistance to AV. The failure resulted in AV experiencing an unwitnessed fall, causing him/her to be transported to the hospital and received stitches to his/her head, which is a violation of resident rights is considered neglect of care and constitutes abuse.
Sanction
RCFCP20-00539 $1350.00 fine assessed