Violation Details: 00333593-AP-284866

Records Request Print
Date
5/21/2024
Report number
00333593-AP-284866
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)
External site: 411-054-0036(2)(g)
Findings
The facility failed to implement interventions and appropriately care plan regarding Alleged Victim’s (AV) known fall risk. AV had multiple documented falls between March 12, 2024, and May 21, 2024, some resulting in injury including but not limited to a goose egg, skin tear, rib fractures, compression fractures of vertebrae, back pain, and an ankle injury. The facility failed to implement interventions to mitigate AV’s increasing fall risk, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP24-00762 $500.00 fine assessed