Violation Details: 00294495-AP-248263

Records Request Print
Date
9/14/2023
Report number
00294495-AP-248263
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide service
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 Alleged Victim (AV) was a known fall risk due to an unsteady gait. The facility failed to provide appropriate services according to Alleged Victim’s needs, relating to care planning, interventions and/or instruction, to mitigate the risk of injury due to AV's increase in falls. According to an investigation, AV experienced multiple falls between June 1, 2023, and September 14, 2023, which resulted in various abrasions and repeated unreasonable discomfort. This failure is a violation of resident rights, is neglect of care which constitutes abuse.
Sanction
RCFCP24-00306 $500.00 fine assessed