Violation Details: 00392961-AP-343587

Records Request Print Provider Details
Date
4/1/2025
Report number
00392961-AP-343587
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide service
Result
Substantiated
Rule(s) Violated
411-054-0027(1)(g) and (s)
411-054-0028(2)
Findings
Between January 6th to 29th, 2025, Alleged Victim (AV) had 13 falls. AV’s one-on-one was removed on March 31, 2025. On or about April 1, 2025, at approximately 10 am, AV was found on AV’s falls mat because AV tried to get up by AV’s self. The facility acknowledged AV’s fall could have been avoided with one-on-one care, it was not a good idea to remove AV’s one-on-one because AV could decide to get up and fall. The facility failed to provide service for AV by failing to assure the necessary supervision to prevent AV from falling, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP25-00862 $1000.00 fine assessed