Violation Details: 00159777-AP-126713

Records Request Print
Date
9/10/2021
Report number
00159777-AP-126713
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(A) and (H)
External site: 411-054-0036(2)(g)
Findings
The facility failed to follow the care plan and provide appropriate services according to the Alleged Victim (AV)'s needs relating to ambulation. AV is a high fall risk and is care planned for staff to encourage AV to use a walker if AV is not using a walker upon every encounter. On or about September 10, 2022, AV was using a wheelchair for mobility, AV stood up and walked by staff w/o any mobility device. Staff did not intervene to assist AV as AV entered h/h room. Staff heard AV yelling and found AV on the floor. This failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP23-00177 $375.00 fine assessed