Violation Details: 00086359-AP-064563

Date
5/30/2020
Report number
00086359-AP-064563
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to follow care plan
Result
Substantiated
Findings
Alleged Victim (AV) had a known history of falls. AV had falls on May 2, May 8, May 14, May 20 and two on May 25, 2020. After each fall the temporary service plans called for increased supervision and safety checks. AV was not supervised between the hours of 10:30pm and 12:40am on May 30, 2020, and was found outside alone in the courtyard with injuries due to falling. The facility failed to follow the care plan, which is a violation of resident rights, is neglect of care and constitutes abuse. **On August 11, 2020 the facility closed, therefor a civil penalty will not be issued.**