Violation Details: 00286117-AP-240461

Records Request Print
Date
9/17/2023
Report number
00286117-AP-240461
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide appropriate staffing
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)
External site: 411-054-0070(1)
Findings
The Alleged Victim (AV) is care planned for two person assist for most cares, including showers. On or about September 17, 2023, Alleged Perpetrator #2 (AP2) was showering AV by him/herself. AP2 showered AV in his/her wheelchair, and while attempting to remove AV from the shower, the wheels got caught on the shower lip and AV fell forward from his/her chair, causing a laceration to his/her scalp. AV was sent to the hospital where he/she received 13 stitches to his/her forehead. AP2 failed to follow the care plan to have a second person assist with showering AV. AP2's actions are a violation of resident rights, are considered neglect of care and constitute abuse. The facility's failure to follow the care plan and ensure enough staff are available to assist is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP24-00313 $375.00 fine assessed