Violation Details: 00282394-AP-236839

Records Request Print Provider Details
Date
8/25/2023
Report number
00282394-AP-236839
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g)
Findings
According to the documentation, the facility failed to follow the care plan for the Alleged Victim’s (AV) known fall history. On or about August 25, 2023, the AV was found on the floor in their room. The AV stated they were trying to get out of bed when staff walked in. While helping the AV, staff noticed the fall mat was not placed next to the bed as outlined in their service plan. The AV complained of knee pain. The AV was given a PRN pain medication and an ice pack, which seemed to help. The failure to follow the care plan and place the fall mat next to the bed to prevent injury is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP24-01207 $0.00 fine assessed