Violation Details: 00221895-AP-180585

Records Request Print
Date
9/18/2022
Report number
00221895-AP-180585
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious 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) had recently returned from the hospital after being disoriented and vomiting. AV was placed on alert for a couple hours after his/her return. On September 16, 2022, AV refused medications and was not placed on alert, and suffered a non injury fall. The facility failed to implement interventions after this fall and the AV fell again on September 18, 2022, suffering a broken ankle. The facility failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP22-01828 $1125.00 fine assessed