Violation Details: 00409707-AP-360799

Records Request Print
Date
6/24/2025
Report number
00409707-AP-360799
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
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)(H)
External site: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) is a known fall risk and has suffered 16 falls between April 2025 and June 2025. On or about June 24, 2025, AV was found on the floor next to his/her bed with an end table on top of his/her chest. AV suffered a bump on the head, a skin tear to his/her elbow and redness to his/her back. The facility failed to implement new interventions to reduce AV's risk of falls. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-01064 $375.00 fine assessed