Violation Details: 00348348-AP-298728

Records Request Print Provider Details
Date
8/15/2024
Report number
00348348-AP-298728
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g)
Findings
According to the documentation, the facility failed to follow the care plan for the Alleged Victim’s (AV) known fall history. Between approximately June 14, 2024, through August 18, 2024, the AV experienced a total of 18 falls, some including injury. The most recent service plan directs staff to conduct 2-hour safety checks and the AV is to always wear non-slip socks. Interviews with staff indicated safety checks were not being conducted and the AV was often seen without non-slip socks on. the failure to follow the care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP24-01206 $0.00 fine assessed