Violation Details: 00321804-AP-273596

Records Request Print
Date
2/2/2024
Report number
00321804-AP-273596
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: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
The facility failed to implement interventions and appropriately care plan regarding Alleged Victim’s (AV) known fall risk. AV had multiple documented falls between February 02, 2023, and March 26. 2023, some resulting in injury including but not limited to a head injury, skin tears, puncture wounds, redness, and causing repeated unreasonable discomfort and pain. The facility failed to implement interventions to mitigate AV’s increasing fall risk, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP24-00968 $1500.00 fine assessed