Violation Details: 00381814-AP-332330

Records Request Print
Date
2/4/2025
Report number
00381814-AP-332330
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b), 411-054-0027(1)(g) and (s), 411-054-0028(2) and 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) relies on the facility for basic care and to provide a safe environment. AV is care planned to have pressure alarms at all times. According to an investigation, on or about February 4, 2025, AV experienced a fall, placing AV at risk of harm. It was discovered that the bed alarm was turned off and the wheelchair alarm was in the common living room, also turned off. The facility’s failure to follow the care plan is a violation of resident rights, is neglect of care and constitutes abuse. The allegation that Alleged Perpetrators 2, 4 and 5 (AP2, AP4, AP5) neglected AV was investigated and determined to be not substantiated. The allegation that Alleged Perpetrator 3 (AP3) neglected AV was investigated and determined to be inconclusive.
Sanction
RCFCP25-00781 $375.00 fine assessed