Violation Details: 00092465-AP-069810

Records Request Print

Date: 7/11/2020
Report number: 00092465-AP-069810
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: 411-054-0025(1)(a) and (f)
External site: 411-054-0036(2)(g)
Findings: On or about July 11, 2020, AV pulled his/her call light for assistance with a bed change/peri care. A staff, who was in training, was instructed by his/her trainer that AV was a one person assist and was given the ok to provide cares alone. While staff was providing care AV rolled off the side of the bed sustaining injuries to his/her hands, knees, elbows, big toe, and reported pain. AV is care planned a two person assist for incontinence care at the time of the incident. Staff were not aware AV was a two person assist due to verbally being trained by former facility management incorrectly. The facility failed to follow AV's care plan, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP20-01139 $250.00 fine assessed