Violation Details: 00355567-AP-305935

Date
9/18/2024
Report number
00355567-AP-305935
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide service
Result
Substantiated
Findings
Alleged Victim’s (AV’s) care plan dated September 11, 2024, states AV is to be toileted every morning between 4-5 AM to prevent AV from needing to get up on his/her own and use the bathroom, AV is not considered a fall risk. On or about September 18, 2024, AV was found on the floor in his/her room by caregiver at around 6:50 AM. AV had a history of falls with three (3) prior falls. Staff reported not understanding the purpose behind the service plan intervention of checking AV between 4 AM and 5 AM. The facility failed to provide service by having staff not understand the care plan, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP25-00181 $250.00 fine assessed