Violation Details: 00284192-AP-238660

Records Request Print
Date
9/7/2023
Report number
00284192-AP-238660
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 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 August 27, 2023, September 4, 2023, and September 6, 2023, and facility failed to implement interventions to prevent future falls after each of these falls occurred. The facility's failure resulted in AV experiencing several falls, causing AV unreasonable discomfort which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP24-00111 $1500.00 fine assessed