Violation Details: 00394372-AP-345116

Records Request Print
Date
4/8/2025
Report number
00394372-AP-345116
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to properly plan care
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) was a known fall risk with a history of falls. According to an investigation, AV experienced multiple falls between January 6, 2025, and April 8, 2025, which resulted in various abrasions and injuries, including a head injury that required three staples. The facility failed to implement appropriate interventions to mitigate the risk of injury due to AV's increase in falls, which is a violation of resident rights, is neglect of care which constitutes abuse.