Violation Details: 00319810-AP-271680

Records Request Print
Date
3/8/2024
Report number
00319810-AP-271680
Type
Licensing Violation
Level
4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(r)
Findings
According to the documentation, the Alleged Perpetrator 2 (AP2) did not follow the care plan for the Alleged Victim (AV) by not moving the pressure pad alarm from the recliner to the bed. On or about March 08, 2024, AP2 did not follow the care plan to place the pressure pad alarm in the bed as outlined in the care plan. The AV suffered a fall and hit their head resulting in a brain bleed which required medical intervention at the hospital, which is a violation of resident rights, is considered neglect of care and constitutes abuse.