Violation Details: 00327760-AP-279113

Records Request Print
Date
2/19/2024
Report number
00327760-AP-279113
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: 411-054-0030(1)(e)(A)
External site: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) is a known fall risk and was care planned for six safety checks per shift. On or about March 30, 2024, AV fell in his/her bathroom suffering an abrasion to his/her back and a skin tear. AV's care plan was not updated nor was there any interventions in place to prevent AV from falling again. On or about April 14, 2024, AV suffered another fall in his/her bathroom, resulting in a fractured foot and a fractured arm. The facility's failure to properly care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP24-00768 $1125.00 fine assessed