Violation Details: 00339382-AP-290212

Records Request Print
Date
6/24/2024
Report number
00339382-AP-290212
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), 411-054-0027(1)(g) and (s), 411-054-0028(2), 411-054-0036(2)(g), 411-054-0040(1)(d)
Findings
The Alleged Victim (AV) relies on the facility for his/her care. Fall interventions documented in AV's care plan included ensuring AV wears supportive footwear removing tripping hazards and safety checks. According to an investigation, on or about June 24, 2024, AV fell while in the courtyard, resulting in skin tears to hand. AV had previous falls on or around 5/1/24, 5/29/24 with no service planned actions or fall interventions determined and documented for the resident. The facility failed to properly care plan, which is a violation of resident’s rights, is neglect of care and constitutes abuse.
Sanction
RCFCP26-00225 $375.00 fine assessed