Violation Details: 00121926-AP-094650

Records Request Print
Date
1/24/2021
Report number
00121926-AP-094650
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
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 care plan related to the Alleged Victim's (AV) fall history and wandering behaviors. The failure resulted in AV wandering into another residents room, experiencing an unwitnessed fall with injury, which is a violation of resident rights, is considered neglect of care and constitutes abuse.