Violation Details: 00385122-AP-335785

Records Request Print
Date
7/24/2024
Report number
00385122-AP-335785
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
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), 4110054-0030(1)(e)(H) and (I), 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) is dependent on the facility to meet his/her safety needs and has a history of falls. According to an investigation, on or about July 24, 2024, AV fell after tripping over another resident's wheelchair. AV's service plan, dated May 8, 2024, did not provide interventions for staff to follow to prevent falls. The facility failed to develop fall interventions to address AV’s fall risk, resulting in injury and bruising to the knees that appeared on July 25, 2025. The facility failed to plan care for AV, which is a violation of resident rights, is considered neglect of care which constitutes abuse.
Sanction
RCFCP25-00914 $500.00 fine assessed