Violation Details: 00366657-AP-318460

Records Request Print Provider Details
Date
11/16/2024
Report number
00366657-AP-318460
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
Result
Substantiated
Rule(s) Violated
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)
Findings
Alleged Victim (AV) was a known fall risk with three (3) previous falls. On or about November 24, 2024, AV fell in his/her bathroom which resulted in redness and pain to the back of AV’s head. AV’s updated care plan and TSP were inconstant as to what care staff were to do to prevent falls. The facility failed to care plan and mitigate AV’s known risk of falls, which is a violation of resident right, is neglect of care and constitutes abuse.
Sanction
RCFCP25-00575 $2500.00 fine assessed