Violation Details: 00268982-AP-223922

Records Request Print
Date
6/4/2023
Report number
00268982-AP-223922
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: 411-054-0025(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
The facility failed to implement interventions and appropriately care plan regarding Alleged Victim’s (AV) known fall risk. According to the investigation, AV had approximately 20-30 falls between January 11, 2023, and June 4, 2023, some resulting in injury including but not limited to a head injury and bruising. On or about June 4, 2023, AV fell which resulted in a sacrum fracture. The facility failed to implement effective interventions to mitigate AV’s increasing fall risk, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP23-01611 $1500.00 fine assessed