Violation Details: 00329114-AP-280468

Records Request Print
Date
4/23/2024
Report number
00329114-AP-280468
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2), 411-054-0036(2)(g)
Findings
The facility failed to provide appropriate supervision related to the Alleged Victim’s (AV) known history of falls. On or about April 23, 2024, AV had an unwitnessed fall while trying to change his/her clothing without staff assistance. AV had a large red and purple bruise on his/her upper back as a result of the fall. Based on facility documentation, AV has a history of falls which included multiple falls within a short period of time of February 13, 2024, and March 19, 2024. The failure resulted in AV experiencing several unwitnessed falls, causing unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP24-00712 $375.00 fine assessed