Violation Details: 00310856-AP-263424

Records Request Print
Date
1/25/2024
Report number
00310856-AP-263424
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to communicate necessary information
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b)
411-054-0027(1)(r)
Findings
According to the documentation, the Alleged Perpetrator 2 (AP2) failed to follow the care plan update for the Alleged Victim (AV) new transfer instructions. On or about January 24, 2024, the facility implemented a temporary service plan update to change the transfer assistance to the AV from a 1-person assist to a 2-person assist. The AP2 called the Alleged Perpetrator 3 (AP3) to help with a transfer on or about January 25, 2024, and did not tell them the AV was now a 2-person assist. AP3 attempted to transfer the AV by themselves, causing a fall which resulted in bruising, which is a violation of resident rights, is considered neglect of care and constitutes abuse.