Violation Details: 00333423-AP-284514

Records Request Print
Date
5/26/2024
Report number
00333423-AP-284514
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
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)
External site: 411-054-0070(1)
Findings
The Alleged Victim (AV) has a history of falls and requires an escort from his/her room. On or about May 26, 2024, AV left his/her room without an assistive device or any staff assistance, which resulted in AV suffering a fall where he/she suffered a laceration above their eye. Staff saw AV ambulating alone, however, they were busy and couldn't assist AV. The facility's failure to follow the care plan, provide a safe environment and have enough staff to ensure that AV received the care he/she needed is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP24-00852 $188.00 fine assessed