Violation Details: 00356212-AP-306539

Records Request Print
Date
9/20/2024
Report number
00356212-AP-306539
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)
External site: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) is a known fall risk and is care planned for safety checks to ensure his/her safety from falls. On or about September 20, 2024, AV suffered a fall in his/her room. AV had not been check on by staff for more than two hours. AV did not suffer any injury, however, staff failed to follow the care plan to ensure AV's safety by not performing safety checks timely. On or about September 26, 2024, AV was walking to the dining room with his/her spouse, without his/her assistive device. AV suffered a fall, in which he/she suffered a skin tear to his/her nose. The facility's failure to follow AV's care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-00383 $375.00 fine assessed