Violation Details: 00253207-AP-208902

Records Request Print
Date
3/16/2023
Report number
00253207-AP-208902
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
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
Alleged Victim’s (AV’s) care plan states he/she is a high fall risk and would try to get up and forgets he/she cannot ambulate very well without his/her wheelchair. On or about March 16, 2023, AV was found on the floor of his/her room by a non-staff member. AV was found near his/her bed. This has not been the first occasion in which AV has been found on the floor. AV was previously found on the floor in their apartment on or about December 15, 2022, putting AV in risk of harm. The facility failed to follow the care plan regarding AV’s high fall risk, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP23-01167 $500.00 fine assessed