Violation Details: 00132357-AP-103639

Records Request Print
Date
3/21/2021
Report number
00132357-AP-103639
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: 411-054-0036(2)(g)
Findings
The facility failed to follow the Alleged Victim's (AV) care plan to ensure s/he wears properly fitting non-slip footwear and to have his/her call pendant on in order to prevent/mitigate the risk of fall. The failure resulted in an unwitnessed fall causing AV to be transferred to the hospital with a fracture, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP21-02438 $1125.00 fine assessed