Violation Details: 00321006-AP-272965

Records Request Print
Date
3/22/2024
Report number
00321006-AP-272965
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to communicate necessary information
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b), 411-054-0027(1)(g) and (s), 411-054-0028(2), 411-054-0036(2)(g), 411-054-0070(1)(b)
Findings
The Alleged Victim (AV) relies on the facility for his/her care. AV is care planned to have footrests on wheelchair removed prior to transfer. According to an investigation, Alleged Perpetrator 2 (AP2) was called over to AV's unit by another staff member and asked to provide AV with transfer assistance. AP2 had not worked in AV's unit nor reviewed AV's care plan and failed to properly transfer AV resulting AV, resulting in AV sustaining a skin tear. The facility failed to follow the care plan and to ensure that AP2 was properly trained, which is violation of resident rights, are considered neglect of care and constitutes abuse. The allegation of neglect of care against AP2 was investigated and determined to be not substantiated.
Sanction
RCFCP25-00729 $500.00 fine assessed