Violation Details: 00285868-AP-240357

Records Request Print
Date
10/4/2023
Report number
00285868-AP-240357
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
Result
Substantiated
Rule(s) Violated
411-054-0027(1)(f) and (r)
411-054-0028(2)
411-054-0036(2)(g)
Findings
The facility failed to implement interventions and appropriately care plan regarding Alleged Victim’s (AV) known fall risk. AV has a history of unsteady gait and shuffling their feet while walking and had multiple documented falls. According to an investigation, on or about October 4, 2023, AV was walking in the courtyard and fell, resulting in a skin tear to their shoulder. The facility failed to implement interventions to mitigate AV’s increasing fall risk, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP23-01585 $188.00 fine assessed