Violation Details: 00115228-AP-089046

Records Request Print
Date
12/6/2020
Report number
00115228-AP-089046
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(A)
Findings
On or about December 6, 2020, the Alleged Victim (AV) suffered a fall from his/her wheelchair, causing a hematoma, cuts and rug burns. AV has fallen from his/her wheelchair before and it was determined prior that AV should have a tilted wheelchair to prevent falls. The facility never ordered this chair until after this most recent fall. The facility failed to provide a safe environment, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP21-01879 $188.00 fine assessed