Violation Details: 00172161-AP-136625

Records Request Print
Date
11/29/2021
Report number
00172161-AP-136625
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) is care planned to have a pressure alarm under him/her at all times. On or about November 29, 2021, AV had a fall from his/her bed, which caused abrasions to AV's forearm and knee. At the time of AV's fall, the pressure alarm was not under AV, but was in AV's wheelchair. The facility failed to follow AV's care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP22-00880 $375.00 fine assessed