Violation Details: 00123640-AP-096111

Records Request Print
Date
2/1/2021
Report number
00123640-AP-096111
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious 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: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
Findings
The facility failed to follow AV's care plan to check on him/her frequently at night ensure proper lighting in AV's room for fall prevention. The failure resulted in AV experiencing an unwitnessed fall and was on the ground for an undetermined period of time as staff stated AV was not checked on that night, AV was diagnosed with a pelvic fracture, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP21-02437 $1125.00 fine assessed