Violation Details: 00300470-AP-253797

Records Request Print Provider Details
Date
12/2/2023
Report number
00300470-AP-253797
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
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 traumatic brain injury and difficulty with judgement. AV has a history of multiple falls between March of 2023 and January 2024 and is supposed to be on 15 minute checks by facility staff. On or about December 4, 2023, staff heard AV yell for help from his/her room and found him/her on the floor. AV suffered skin tears to his/her arm and elbow and a bruise on his/her knee. The facility failed to follow AV's care plan to ensure his/her safety. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP24-00300 $500.00 fine assessed