Violation Details: 00354473-AP-304810

Records Request Print
Date
9/10/2024
Report number
00354473-AP-304810
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
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)
Findings
The Alleged Victim (AV) is a known fall risk. AV has suffered 5 falls between July 31, 2024 and September 10, 2024. AV is care planned to have a bed alarm. On or about September 10, 2024, AV suffered a fall and was found in the doorway of his/her room. AV did not have a pressure alarm on his bed, so staff were not notified that AV was out of his/her bed. The facility's failure to follow the care plan, to have a bed alarm in place, placed AV at risk for harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-00377 $500.00 fine assessed