Violation Details: 00401623-AP-352514

Records Request Print
Date
5/12/2025
Report number
00401623-AP-352514
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), 411-054-0027(1)(g) and (s), 411-054-0028(2), and 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) relies on the facility to provide care and services. According to an investigation, AV's care plan states that AV has a history of falls and interventions were implemented to help mitigate AV from falling. One of the interventions was that AV was to have a bed alarm in place and working when AV is in bed. On or about May 12, 2025, AV was found on the floor of AV's room and had suffered an unwitnessed fall. The facility failed to follow the care plan, and the bed alarm was not in place at the time AV was found on the floor, which is a violation of resident rights, is neglect of care which constitutes abuse.
Sanction
RCFCP25-00885 $375.00 fine assessed