Violation Details: 00385156-AP-335656

Records Request Print
Date
2/21/2025
Report number
00385156-AP-335656
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide service
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) relies on the facility for their care, is known to wander into other residents' rooms and sleeping in unoccupied beds and was care planned for 1:1 care. According to an investigation, on or around, February 21, 2025, AV was found on the floor by staff, resulting in a humerus fracture to the left arm. Prior to the fall, AV was sleeping on an unoccupied bed in another resident's room and was not being monitored with 1:1 supervision. The facility failed to provide appropriate services, relating to care planning, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP25-00963 $1500.00 fine assessed