Violation Details: 00404837-AP-355837

Records Request Print Provider Details
Date
5/30/2025
Report number
00404837-AP-355837
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
411-054-0027(1)(g) and (s)
411-054-0028(2)
Findings
Alleged Victim (AV) is a known fall risk resident. On or about May 30, 2025, during a fire drill AV fell and landed on h/h face, hands and knees. AV had 2 previous falls one on April 17, 2025, and May 6,2025. No new interventions were implemented after the previous falls or the fall on May 30, 2025, to prevent future falls. As a result of the May 30, 2025, fall, AV sustained a swollen wrist. The facility failed to provide a safe environment to AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP25-01189 $500.00 fine assessed