Violation Details: 00376371-AP-326791

Records Request Print Provider Details
Date
1/1/2025
Report number
00376371-AP-326791
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide service
Result
Substantiated
Rule(s) Violated
411-054-0027(1)(g) and (s)
411-054-0028(2)
Findings
Alleged Victim (AV) was documented to be a fall risk. Between November 21, 2024, to January 1, 2025, AV sustained nine (9) falls. The interventions for AV falling were increased safety checks and encourage call light use. Despite AV continuously falling, there were no new interventions placed. Facility documents and narrative charting was inconsistent on number of checks per shift, it lists either eight (8) checks or 12. The facility failed to provide AV with adequate supervision which resulted in AV falling multiple times, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP25-00693 $1125.00 fine assessed