Violation Details: 00301171-AP-254390

Records Request Print
Date
12/9/2023
Report number
00301171-AP-254390
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
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)
Findings
The Alleged Victim (AV) is care planned for a pressure alarm to be under him/her at all times to alert staff when AV is transferring. According to an investigation, on or about December 9, 2023, AV experienced a fall and was found on the floor with an injury above his/her eye, an injury to his/her right shoulder and a scratch on his/her hand. It was discovered during the investigation that at the time of the fall, AV’s pressure alarm was being used by another resident. The facility failed to follow AV’s care plan, which is a violation of resident rights, is neglect of care which constitutes abuse.
Sanction
RCFCP24-00442 $250.00 fine assessed