Violation Details: 00215733-AP-174925

Records Request Print Provider Details
Date
8/13/2022
Report number
00215733-AP-174925
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to properly plan care
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b)
411-054-0027(1)(f) and (r)
411-054-0028(2)
411-054-0036(2)(g)
Findings
The facility failed to implement interventions and appropriately care plan regarding Alleged Victim’s (AV) known fall risk. AV had multiple documented falls between May 29, 2022, and August 13, 2022, some resulting in injury, including but not limited to skin tears, abrasions and bruising, and ultimately a head injury with multiple facial fractures. The facility failed to implement interventions to mitigate AV’s increasing fall risk, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP22-01753 $1500.00 fine assessed