Violation Details: 00348464-AP-298854

Records Request Print
Date
8/13/2024
Report number
00348464-AP-298854
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious 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)
External site: 411-054-0040(1)(c) and (d)
Findings
On or about August 13, 2024, the Alleged Victim (AV) was found on his/her bathroom floor after an unwitnessed fall, resulting in a scalp laceration that required hospitalization and staples. Based on facility documentation and interviews, AV had a documented history of falls, including 11 falls between June 19, 2024, and August 9, 2024, two of which resulted in head injuries. The facility's lack of appropriate oversight and care planning regarding AV's known fall risk, caused AV continued pain and unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP26-00176 $1125.00 fine assessed