Violation Details: 00103210-AP-078599

Date
9/17/2020
Report number
00103210-AP-078599
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
The facility failed to provide a safe environment for Alleged Victim (AV). An investigation determined that AV was experiencing a change of condition as a result of a change in medication which increased dizziness and resulted in AV suffering from three falls between August 25, 2020 and September 17, 2020. On or about September 17, 2020, AV was left alone during a foot soak in which AV got up on his/her own, slipped and fell and was sent to the hospital for treatment. AV was diagnosed with a hip fracture. The facility's failure to provide a safe environment for AV is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP21-01270 $375.00 fine assessed