Violation Details: 00409080-AP-360154

Records Request Print
Date
6/19/2025
Report number
00409080-AP-360154
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: 411-054-0030(1)(e)(A)
External site: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) is a known fall risk and is care planned to have staff assist with transferring from the wheelchair to dining room chair. On or about June 19, 2025, AV was found on the floor in the dining room after trying to transfer him/herself from the wheelchair to the dining room chair. AV was not injured in the fall, however, AV was placed at risk for harm. The facility's failure to follow the care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-01063 $375.00 fine assessed