Violation Details: 00398969-AP-349694

Records Request Print Provider Details
Date
4/30/2025
Report number
00398969-AP-349694
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b), 411-054-0027(1)(g) and (s), 411-054-0028(2)
411-054-0036(2)(g)
Findings
The Alleged Victim (AV) is dependent on the facility to meet his/her safety needs and has a history of falls. According to an investigation, on or about April 30, 2025, AV was found on the floor and was transported to the hospital for treatment. Between February 11, 2025, and May 2, 2025, AV had at least 10 falls, with at least 3 falls occurring on April 27, 2025. The facility did not develop or implement any known changes to AV's care plan following the falls. The facility failed to develop fall interventions to address AV’s fall risk, resulting in injury and hospitalization. The facility failed to properly plan care for AV, which is a violation of resident rights, is considered neglect of care which constitutes abuse.
Sanction
RCFCP25-01040 $375.00 fine assessed