Violation Details: 00081600-AP-060562

Records Request Print
Date
4/27/2020
Report number
00081600-AP-060562
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b)
411-054-0027(1)(f) and (r)
411-054-0028(2)
411-054-0036(2)(g)
Findings
The facility failed to follow the Alleged Victim's (AV) care plan to toilet him/her during safety checks and to have his/her walker within reach in his/her room. On or about April 27, 2020, AV fell, while trying to go to the bathroom alone one hour after a safety check where he/she was not taken to the bathroom, without his/her walker available, and suffered a fall causing a laceration to the back of his/her head requiring staples. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP20-01014 $1012.00 fine assessed