Violation Details: 00103565-AP-078894

Records Request Print
Date
9/15/2020
Report number
00103565-AP-078894
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
On or about September 15, 2020, Alleged Victim (AV) fell when staff was assisting him/her with a transfer from his/her wheelchair to his/her bed. An investigation determined that facility staff transferred AV from his/her wheelchair to his/her bed without using AV's gait belt. AV is care planned for full assist by facility staff with all transfers using a gait belt. The facility's failure to follow AV's care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP21-01313 $375.00 fine assessed