Violation Details: 00141196-AP-111222

Records Request Print
Date
5/16/2021
Report number
00141196-AP-111222
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: 411-054-0036(2)(g)
Findings
Alleged Victim (AV) relies on the facility for his/her care. On or about May 16, 2021, AV was heard yelling from his/her room. When staff entered the room, they found AV on the floor. AV reported he/she was walking with a cup of water and lost his/her balance and fell. AV has experienced three (3) falls in less than 30 days and has sustained injuries in all three falls. The facility failed to care plan appropriately and implement interventions to mitigate AV’s risk of falls, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP21-02841 $500.00 fine assessed