Violation Details: 00117658-AP-091123

Records Request Print
Date
11/23/2020
Report number
00117658-AP-091123
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to assure resident was safe
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)(I)
External site: 411-054-0036(2)(g)
Findings
The facility failed to implement interventions and appropriately monitor the Alleged Victim (AV) according to his/her fall history and needs. The failure resulted in AV experience an unwitnessed fall with injury and was on the floor for an undetermined period of time before being found by staff, which is a violation of resident rights, is considered neglect of care and constitutes abuse.