Violation Details: 00228861-AP-186993

Records Request Print
Date
10/26/2022
Report number
00228861-AP-186993
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: 411-054-0036(2)(g)
Findings
Alleged Victim (AV) is a high fall risk and has history of falls. AV is care planned for assistance to and from all meals, and staff are to toilet AV immediately following each meal. On or about October 26, 2023, AV was found on the flour from an unwitnessed fall in the dining room after breakfast. AV hit h/h head, sustaining a head injury, laceration and was transported to the emergency room by EMS. The facility failed to follow AV care plan, which is a violation of resident’s rights is neglect of care and constitutes abuse.
Sanction
RCFCP23-01149 $1125.00 fine assessed