Violation Details: 00186926-AP-148998

Records Request Print
Date
2/24/2022
Report number
00186926-AP-148998
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious 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)
External site: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) is care planned to have staff escort him/her to the dining room in his/her wheelchair. On or about February 24, 2022, the AV was walking back to his/her room with another resident and fell. AV's fall resulted in a broken hip. The facility failed to follow the care plan, as they did not bring AV to the dining room in his/her wheelchair or return AV to his/her room in a wheelchair. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP22-00642 $1500.00 fine assessed