- Date
- 4/22/2020
- Report number
- 00081124-AP-060140
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- Alleged Victim (AV) relies on the facility for his/her care. Between February 28th through March 24th, 2020, AV has sustained three (3) falls. No interventions were in place after the three (3) falls. On or about April 22, 2020, staff found AV on the floor next to his/her bed in a fetal position. Later that day AV was attempting to transfer from his/her wheelchair to the toilet and fell between the wall and toilet. AV stated he/she had right side pain but was able to move and communicate. AV was taken to the hospital and diagnosed with a broken rib. The facility failed to care plan appropriately and implement interventions to mitigate AV’s risk of falls, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- ALFCP22-00627 $500.00 fine assessed