Violation Details: 00353250-AP-303942

Records Request Print
Date
9/6/2024
Report number
00353250-AP-303942
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)
Findings
On or about September 6, 2024, Alleged Perpetrator #2 (AP2) and Alleged Perpetrator #3 (AP3) were transferring the Alleged Victim (AV) using a hoyer lift. AV slid out of the sling and hit his/her head, causing a laceration to his/her head. The sling that was used was too large for AV, causing him/her to slip. While the facility had trained AP2 and AP3 on using the hoyer lift, the training did not include how to select the correct size to fit each resident. The facility's failure to provide a safe environment is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-00479 $188.00 fine assessed