Violation Details: 00295364-AP-249052

Records Request Print Provider Details
Date
11/4/2023
Report number
00295364-AP-249052
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b)
411-054-0027(1)(f) and (r)
411-054-0028(2)
411-054-0036(2)(g)
Findings
The Alleged Victim (AV) has a history of falls, however, the facility had resolved previous fall history and AV began falling again recently. On or about November 3, 2023, AV suffered two falls, resulting in a cut to his/her knee. AV suffered another fall on November 4, 2023, where the facility discovered AV's oxygen levels were low. AV was placed on 15 minute checks, however, there is no documentation supporting that AV was actually being checked every 15 minutes. The facility's failure to provide a safe environment is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP24-00162 $250.00 fine assessed