Violation Details: 00385122-AP-352759

Records Request Print
Date
8/14/2024
Report number
00385122-AP-352759
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), 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 to have bruising and a bump on the forehead. Staff were unable to identify how AV sustained the bruising or bump to AV's head. AV's service plan, dated July 24, 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. 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