Violation Details: 00368051-AP-318286

Records Request Print
Date
11/21/2024
Report number
00368051-AP-318286
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)
Findings
The Alleged Victim (AV) is a two person transfer. On or about November 21, 2024, AV's pressure alarm went off. Staff went to AV and found AV on the floor in the bathroom with Witness #1 (W1). W1 was attempting to assist AV to the bathroom leading to the fall, which resulted in AV having red marks on his/her knees W1 is known to try to assist other residents with care, and the facility failed to have interventions in place to stop this behavior. The facility's failure to provide a safe environment is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-00538 $375.00 fine assessed