Violation Details: 00090566-AP-068060

Records Request Print
Date
6/28/2020
Report number
00090566-AP-068060
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
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)
Findings
On or about June 28, 2020, the Alleged Victim (AV) was being assisted with a brief change by Alleged Perpetrator #2 (AP2) and Alleged Perpetrator #3 (AP3) when he/she slipped and fell, causing a cut to his/her leg. AV should have been seated on the bed while the change was occurring. The facility failed to ensure that staff were aware of the care plan changes for AV, resulting in injury to AV. An investigation determined no AP2 and AP3 wrongdoing or abuse occurred. The facility failure is a violation of resident rights, is considered neglect of are and constitutes abuse.
Sanction
RCFCP21-02455 $188.00 fine assessed