- Date
- 7/11/2020
- Report number
- 00092606-AP-069807
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- The facility failed to appropriately care plan for Alleged Victim's (AV) high fall risk. On July 11, 2020, AV fell and was diagnosed with a fractured humerus. On July 13, 2020, the facility noted a Significant Change of Condition for AV due to falls, specifically stating that AV needed increased assistance and supervision with his/her Activities of Daily Living (ADL). However, AV fell twice more in his/her room on July 15, 2020. An investigation determined that AV suffered six falls between June 29, 2020 and July 2, 2020. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- ALFCP21-01160 $375.00 fine assessed