Violation Details: 00367015-AP-317266

Records Request Print
Date
11/16/2024
Report number
00367015-AP-317266
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide service
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) relies on the facility for care and is a known fall risk, with an extensive recent history of falls. AV is care planned for staff to check on AV eight times per shift for safety due to fall risk and wandering requiring redirection. According to an investigation, on or about November 16, 2024, AV fell and was on the floor in pain. The last documented time staff checked on AV was approximately 13 hours earlier. The facility failed to provide appropriate services according to Alleged Victim’s needs, regarding implementation of services, safety checks and monitoring, which is a violation of resident rights, is considered neglect of care and constitutes abuse.