Violation Details: 00163168-AP-129392

Records Request Print
Date
9/30/2021
Report number
00163168-AP-129392
Type
Abuse: Neglect
Level
4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
Allegation
Failed to intervene when resident's condition changed
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)(e) and (g)
External site: 411-054-0040(1)(b) and (c)
Findings
Alleged Victim (AV) relies on the facility for his/her care and AV is a known fall risk. Between July 26, 2021, and September 15, 2021, AV was exhibiting increased emotional behaviors and continually pacing around the facility. AV suffered a few additional falls between September 4, 2021, and September 8, 2021, and was diagnosed with a hip fracture at the hospital. The facility failed to intervene when AV experienced a change of condition, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP22-00545 $1500.00 fine assessed