Violation Details: 00242559-AP-199105

Records Request Print Provider Details
Date
10/2/2022
Report number
00242559-AP-199105
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) increasing fall risk. From approximately July 31, 2022, to October 02, 2022, AV had approximately 18 documented falls, some resulting in injury including but not limited to a head injury, skin tears, abrasions and bruising, and causing AV repeated unreasonable discomfort. 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
RCFCP23-00245 $1350.00 fine assessed