Violation Details: 00307574-AP-260379

Records Request Print Provider Details
Date
1/17/2024
Report number
00307574-AP-260379
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0030(1)(e)(A)
411-054-0036(2)(g)
Findings
The Alleged Victim (AV) is a known fall risk. Between July 2023 and January 2024, AV fell 14 times, 11 of those resulted in injury to AV. On or about January 17, 2024, AV was moved from his/her room to the common area and sat in a recliner. AV tried to get up and fell. AV complained of pain in his/her hip and was sent to the emergency room for evaluation. It was determined AV suffered a hip fracture. The facility's failure to provide a safe environment is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP24-00696 $1125.00 fine assessed