Violation Details: 00409193-AP-360260

Records Request Print Provider Details
Date
6/20/2025
Report number
00409193-AP-360260
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to follow care plan
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) relies on the facility for their care and has a history of falls. AV is care planned to have stand by assistance with use of walker. According to an investigation, on or about June 20, 2025, AV experienced a fall attempting to self-transfer, resulting in a broken jaw. The facility failed to provide appropriate services, to include following the care plan and/or implementation of interventions, which is a violation of resident rights, is considered neglect of care and constitutes abuse., which is a violation of resident rights, is neglect of care which constitutes abuse.