Violation Details: 00418649-AP-370058

Records Request Print
Date
8/6/2025
Report number
00418649-AP-370058
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious 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: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) is a known fall risk and suffered 10 falls between June 2025 and August 2025. After July 29, 2025, AV suffered 3 falls where no new interventions were put into place to reduce AV's risk of falls. On or about August 6, 2025, AV was found on the floor of his/her room with blood on his/her face. AV was sent to the emergency room where it was determined that AV suffered a fractured nose. The facility's failure to properly care plan to reduce the risk of falls is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-01290 $1125.00 fine assessed