Violation Details: 00385122-AP-352684

Records Request Print
Date
8/14/2024
Report number
00385122-AP-352684
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 August 14, 2024, AV was observed falling after attempting to sit and missing the chair. AV's service plan, dated August 2, 2024, instructed staff to encourage AV to sit and rest frequently and do frequent visual checks to prevent falls. There was no documentation of the visual checks and reminders to address AV’s fall risk, resulting in injury and bruising to the left forearm that appeared on August 15, 2025. The facility failed to follow the care plan for AV, which is a violation of resident rights, is considered neglect of care which constitutes abuse.
Sanction
RCFCP25-00914 $500.00 fine assessed