Violation Details: 00255414-AP-210940

Records Request Print
Date
3/1/2023
Report number
00255414-AP-210940
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate 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 facility failed to implement interventions and provide appropriate supervision related to the Alleged Victim’s (AV) known history of falls. Based on facility documentation and interviews, AV fell on December 1, 2022, on December 21, 2022, on January 25, 2023, on February 26, 2023, and on March 15, 2023. The facility failed to develop sufficient fall preventions/interventions to AV's care plan following AV's fall on February 26, 2023. AV fell again on March 15, 2023, causing injury to his/her face. The facility's failure to appropriately care plan for AV's fall risk, caused unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP23-00614 $500.00 fine assessed