Violation Details: 00425539-AP-377111

Records Request Print
Date
9/7/2025
Report number
00425539-AP-377111
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: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) is a known fall risk and has suffered 9 injury falls in 4 months, resulting in skin tears, bumps to the head and bruising. On or about September 7, 2025, AV was found on the floor by staff at approximately 3 AM, with scratches down his/her back. AV's interim service plans do not have specific interventions to prevent AV from suffering falls. The facility's failure to properly care plan to prevent falls is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-01441 $500.00 fine assessed