Violation Details: 00285503-AP-239832

Records Request Print
Date
9/8/2023
Report number
00285503-AP-239832
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide oversight and monitoring of change of condition
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)
External site: 411-054-0040(1)(a) and (d)
Findings
The facility failed to assess and intervene Alleged Victim's (AV) change of condition. Based on facility documentation and interviews, AV had two documented injury falls on or about September 8, 2023, and facility failed to provide appropriate health assessment, oversight and monitoring in a timely manner. AV was sent to the hospital on or about September 11, 2023, and was diagnosed with a UTI and fractured pelvis. The facility's failure caused AV unreasonable discomfort which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP23-01472 $1500.00 fine assessed