Violation Details: 00314485-AP-266797

Records Request Print
Date
2/15/2024
Report number
00314485-AP-266797
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to properly plan care
Result
Substantiated
Rule(s) Violated
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
On or about February 15, 2024, the Alleged Victim (AV) suffered from at least 3 unwitnessed falls in the same day. Based on facility documentation and interviews, AV experienced multiple falls from January 25, 2024, through February 8, 2024, in which it was determined in the investigation that the facility failed to implement interventions and provide appropriate supervision related to AV's falls. The facility's failure resulted in AV experiencing several unwitnessed falls, causing unreasonable discomfort and knee pain, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-00722 $375.00 fine assessed