Violation Details: 00170216-AP-135068

Records Request Print
Date
11/13/2021
Report number
00170216-AP-135068
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: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) has had multiple falls while trying to self-transfer. Interventions were put into place to reduce and protect when AV has falls, including a fall mat to be placed bedside, however, AV fell on November 14, 2021, there was no fall mat in place and AV's walker was placed several feet away, out of AV's reach. The facility failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP21-03659 $375.00 fine assessed