Violation Details: 00382343-AP-332873

Records Request Print Provider Details
Date
2/4/2025
Report number
00382343-AP-332873
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
Result
Substantiated
Rule(s) Violated
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g)
Findings
Alleged Victim (AV) has a known history of falls. Between November 2024, through February 2, 2025, AV sustained nine (9) falls, eight (8) of the nine (9) falls occurred in the late afternoon and evening. Six (6) out of the nine (9) falls occurred in common areas while AV was ambulating. On or about February 4, 2025, at around 6:45 pm, AV pushed AV’s walker up against the closed med tech office door and fell. AV hit AV’s forehead on the cushioned part of AV’s walker. The facility failed to mitigate AV’s risk of falls, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP25-01073 $500.00 fine assessed