Violation Details: 00331627-AP-321614

Records Request Print
Date
5/16/2024
Report number
00331627-AP-321614
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: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) is a known fall risk due to vision impairment and has suffered multiple falls from March 2024 until May 2024. On or about May 16, 2024, AV was returning from the bathroom and suffered a fall, causing a skin tear to his/her knee. Interventions in place were not effective to keep AV from falling. The facility's failure to properly care plan to reduce the risk of falls is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-00221 $1000.00 fine assessed