Violation Details: 00170985-AP-135765

Records Request Print
Date
9/15/2021
Report number
00170985-AP-135765
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: 411-054-0025(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)
External site: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) has a known history of falls. AV suffered seven (7) falls during the month of September, including a fall on September 15, 2021, in which AV sustained an injury to his/her shoulder and was taken to the emergency room to be assessed and was found to have a urinary tract infection. The facility failed to care plan appropriately and implement person centered interventions to mitigate AV’s risk of falls, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP22-00996 $1000.00 fine assessed