Violation Details: 00426314-AP-378002

Records Request Print
Date
9/11/2025
Report number
00426314-AP-378002
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide service
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) relies on the facility for his/her care. AV is a high fall risk with a history of falls. AV is care planned for hourly checks. According to an investigation, on or about September 11, 2025, AV experienced an unwitnessed fall, resulting in pain. Facility staff had not checked on AV for approximately 3 hours. The facility failed to provide appropriate services, relating to following the care plan, appropriately care planning, and/or implement interventions to mitigate the risk of injury, which is a violation of resident rights, is neglect of care which constitutes abuse.