Violation Details: 00227389-AP-185664

Records Request Print
Date
10/17/2022
Report number
00227389-AP-185664
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
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)
411-054-0070(2)
Findings
On or about October 17, 2022, the Alleged Victim (AV) suffered a fall in his/her room while being transferred by Alleged Perpetrator #2 (AP2). AV sustained a skin tear during this fall. AV is care planned to be transferred with a gait belt. AP2 did not use a gait belt during the transfer of AV. AP2 was not trained to use the gait belt with AV and was not trained to look at residents care plan to understand the residents needs. The facility's failure to properly train staff and follow the care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP23-00367 $250.00 fine assessed