Violation Details: 00376017-AP-326411

Records Request Print
Date
1/4/2025
Report number
00376017-AP-326411
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to properly plan care
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: 411-054-0030(1)(e)(A)
External site: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) is a known fall risk and has a history of seizure activity. AV's care plan was updated at the end of August 2024 to reflect a significant change of condition due to seizure activity, indicating AV needed increased monitoring. Facility documentation indicates minimal monitoring and not on a consistent basis. On or about January 2, 2025, AV suffered a fall resulting in a fracture to his/her ankle and multiple bruises to his/her arm and face. The facility's failure to properly care plan regarding AV's seizure activity, ensuring the safety of this resident from falls is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-00335 $1500.00 fine assessed