Violation Details: 00067562-AP-048951

Date
1/5/2020
Report number
00067562-AP-048951
Type
Abuse: Neglect
Level
4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
Allegation
Failed to properly plan care
Result
Substantiated
Findings
Alleged Victim (AV) experienced six falls between November 21, 2019 and January 17, 2019, three of those falls required treatment from the emergency department. On or about January 5, 2020, AV used his/her pendant to request help in his/her room. Responding staff found AV on the floor, bleeding heavily from his/her head. AV was transported to the emergency room and received five staples to his/her head. Later the same day AV was transported to the emergency room due to heavy bleeding from his/her head wound and concerns that AV's staples had been dislodged. The facility failed to care plan according to AV's history of falls causing repeated unreasonable discomfort and injuries, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
ALFCP20-00610 $2500.00 fine assessed