Violation Details: 00136546-AP-107286

Records Request Print
Date
4/26/2021
Report number
00136546-AP-107286
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious 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: 411-054-0036(2)(g)
Findings
On or about April 26, 2021, Alleged Victim (AV) had an unwitnessed fall which resulted in a broken hip and cracked pelvis. An investigation determined that the facility failed to ensure appropriate, individualized interventions were being used to mitigate AV's fall risk when he/she was out of his/her bed. The facility's failure to develop or maintain a comprehensive care plan for AV is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP21-02753 $1013.00 fine assessed