Violation Details: 00065845-AP-047562

Date
1/11/2020
Report number
00065845-AP-047562
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
The facility failed to provide a safe environment and follow the care plan for the Alleged Victim (AV). The AV was care planned to be checked on every hour and to be escorted to dinner at 4:30 pm each day. On or about January 11, 2020, AV eloped from the facility campus, fell and sustained a fractured sacrum. The last time that staff saw AV was at 4:00 pm and did not know that AV was not at the facility when they were contacted by AV's family after 6:00 pm, advising that AV had been found approximately .8 miles away from the facility. The facility failed to follow the care plan and failed to provide a safe environment. The facility failures are a violation of resident rights, are considered neglect of care and constitute abuse.
Sanction
ALFCP20-00331 $338.00 fine assessed