Violation Details: 00058061-AP-041116

Records Request Print
Date
11/13/2019
Report number
00058061-AP-041116
Type
Abuse: Neglect
Level
4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
Allegation
Failed to properly plan care
Result
Substantiated
Rule(s) Violated
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
On or about November 13, 2019, Alleged Victim (AV) slipped and fell while getting out of the shower. AV was transported to hospital and diagnosed with multiple fractures that required surgery. An investigation determined that AV is care planned to have the facility staff assist him/her with showering. The facility failed to follow AV's care plan and failed to have interventions in place to prevent AV from showering by himself/herself. The facility's failure is a violation of resident rights is considered neglect of care and constitutes abuse.
Sanction
ALFCP20-00339 $2500.00 fine assessed