Violation Details: 00304651-AP-257588

Date
1/1/2024
Report number
00304651-AP-257588
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Findings
The Alleged Victim (AV) was a known fall risk. On or about January 1, 2024, at approximately 6:30 am, AV suffered a fall and was found on the floor in his/her room, next to his/her bed with complaints of pain to his/her knee. On the same date, approximately two hours later, AV was found on the floor again, complaining of knee pain. AV was care planned to have his/her walker within reach and to have non skid socks on. On the day of the incident, AV did not have on non skid socks, nor was AV's walker within reach. The facility failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP24-00572 $188.00 fine assessed