- Date
- 3/15/2020
- Report number
- 00076189-AP-056130
- 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) was a resident of the facility and relies on facility staff for his/her basic care needs. On or about March 15, 2020, AV fell in his/her room and fractured his/her pelvis. AV's cognition and ability to care for his/herself had declined in the months prior to the fall. AV's care needs had increased to the point that the facility discussed Memory Care as an option. AV was assessed and found eligible for Medicaid Services in December 2019 and his/her services began February 1, 2020. The facility was unable to provide any service plan or service assessment prior to February 1, 2020. The facility provided an "AL Evaluation" dated February 1, 2020. The services and interventions identified in the AL Evaluation were the only documented interventions in place at the time of this incident. The AL Evaluation contained minimal information and did not include interventions to address AV's known care needs. The facility failed to care plan and implement appropriate interventions related to AV's care needs, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- ALFCP20-00612 $2500.00 fine assessed