Violation Details: 00312582-AP-265020

Records Request Print
Date
2/12/2024
Report number
00312582-AP-265020
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide oversight and monitoring of change of condition
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: 411-054-0030(1)(e)(A)
External site: 411-054-0036(2)(g)
External site: 411-054-0040(1)(b) and (c)
Findings
The Alleged Victim (AV) is a known fall risk and has suffered multiple falls in the last few months. On or about February 12, 2024, the Alleged Victim (AV) suffered a fall and was found on the floor with a laceration to his/her head. AV was sent out to the emergency department and received staples to his/her head. AV's care plan was not updated after his/her multiple falls to include clear direction to staff regarding AV's transfer and ambulation requirements after his/her change of condition. The facility's failure to have oversight and monitoring of AV's change of condition is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP24-00636 $375.00 fine assessed