- Date
- 3/12/2020
- Report number
- 00075555-AP-055667
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- Alleged Victim (AV) had a known history of falls. On or about March 12, 2020, AV had an un-witnessed fall in the bathroom. AV was transported to the hospital due to head injury and was diagnosed with a fracture and a collapsed lung. AV's care plan did not include any specific and direct interventions to the staff that either work or have defined parameters. AV's care plan does not include an assessment of AV's ability to use the restroom independently to mitigates AV's multiple risk factors. The facility failed to care plan appropriately to mitigate AV's risk of falls, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- ALFCP20-00561 $1125.00 fine assessed