Violation Details: 00329003-AP-280345

Records Request Print
Date
3/9/2024
Report number
00329003-AP-280345
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate 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: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) relies on the facility for his/her care and is documented as a fall risk. According to an investigation, AV had a history of repeated falls, some with significant injury. On or about March 15, 2024, AV had a witnessed fall resulting in a skin tear to AV’s left elbow and an abrasion to their left knee. The facility failed to implement effective interventions to mitigate AV’s increasing fall risk and provide a safe environment for AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-00116 $500.00 fine assessed