Violation Details: 00249111-AP-204920

Records Request Print
Date
2/22/2023
Report number
00249111-AP-204920
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: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) has a history of falls and was care planned as a high fall risk. The facility failed to provide appropriate services according to Alleged Victim’s needs, relating to care planning around falls and instruction. On or about February 22, 2023, AV fell during a transfer from his/her wheelchair to his/her bed, resulting in two vertebral fractures. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP23-01194 $1500.00 fine assessed