Violation Details: 00387889-AP-338349

Records Request Print
Date
2/16/2025
Report number
00387889-AP-338349
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)
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) is a known fall risk. Interventions in place were to ensure that AV had non skid socks on while in bed and to be reminded to use his/her assistive device while ambulating. On or about February 16, 2025, AV was found on the floor in the staff break room. AV was not wearing socks, nor did he/she have his/her assistive device. AV suffered a skin tear from the unwitnessed fall. The facility's failure to follow the care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-00801 $250.00 fine assessed