Violation Details: 00146711-AP-115969

Records Request Print
Date
6/26/2021
Report number
00146711-AP-115969
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
The facility failed to implement interventions and provide appropriate supervision related to the Alleged Victim’s (AV) known history of falls. The failure resulted in AV experiencing three falls between May 2, 2021, and June 20, 2021, without facility implementing appropriate fall interventions. AV experienced another fall on June 26, 2021, which resulted in a head injury, causing AV unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP23-00105 $1500.00 fine assessed