Violation Details: 00388379-AP-338871

Records Request Print
Date
3/6/2025
Report number
00388379-AP-338871
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide safe environment
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
On or about March 6, 2025, the Alleged Victim (AV) was found lying on his/her right side, next to his/her bed. AV suffered a hematoma to the head and discoloration to his/her right arm. AV was on hospice, so hospice was called and it was determined that AV had a broken arm and was given pain medication. AV had a bed alarm on his/her bed, however, it did not notify staff of the fall, as the alarm was not working. The facility's failure to provide a safe environment is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-00405 $1125.00 fine assessed