Violation Details: 00055912-AP-039313

Records Request Print
Date
10/25/2019
Report number
00055912-AP-039313
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(r) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(10(e)(I)
External site: 411-054-0070(1)(b)
Findings
On or about October 25, 2019, Alleged Perpetrator #2 (AP2) was transferring the Alleged Victim (AV) in the bathroom. The gait belt was too loose, when AV tried to get up by him/herself, AP2 could not control the fall due to the gait belt being on too loose. AV fell causing multiple injuries, including a broken rib. AP2's actions are considered neglect of care and constitute abuse. The facility failed to provide a safe environment for the AV by not properly training AP2 prior to having this staff use a gait belt with residents. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP20-00250 $375.00 fine assessed