Violation Details: 00297561-AP-251118

Records Request Print
Date
11/14/2023
Report number
00297561-AP-251118
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
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: 411-054-0030(1)(e)(A) and (H)
Findings
The Alleged Victim (AV) is a known fall risk and has had multiple falls with and without injury. AV is care planned to have a caregiver provide standby assistance while ambulating, however, AV will ambulate without assistance, requiring immediate intervention by staff. AV suffered three falls, November 14, 2023, November 25, 2023 and November 26, 2023, two of those falls causing injury. The facility's failure to ensure oversight of AV while ambulating placed AV at risk for serious harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP24-00604 $188.00 fine assessed