Violation Details: 00357643-AP-307943

Records Request Print
Date
9/29/2024
Report number
00357643-AP-307943
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: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
Alleged Victim’s (AV’s) temporary care plan dated September 15, 2024, instructs staff to put a sheet over metal bedframe to protect AV’s skin. On or about September 29, 2024, AV was found on the floor at around 3:45 AM sitting upright. As a result of the fall, AV sustained an injury to their elbow. During the investigation it was found that AV’s metal bedframe remains exposed. The facility failed to follow the care plan around covering the metal bedframe, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP25-00301 $500.00 fine assessed