Violation Details: 00400496-AP-351371

Records Request Print
Date
5/8/2025
Report number
00400496-AP-351371
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 and has suffered multiple falls in March, April and May 2025. AV is care planned to have a pressure alarm beneath him/ her at all times so that staff are alerted when AV gets up. On or about May 8, 2025, AV's pressure alarm was not under him/her as care planned. AV stood up from his/her recliner and fell. The facility's failure to follow the care plan placed AV at risk for harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-00549 $188.00 fine assessed