Violation Details: 00119391-AP-092611

Records Request Print
Date
1/2/2021
Report number
00119391-AP-092611
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide safe environment
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
The facility failed to provide a safe environment for Alleged Victim (AV) by failing to address AV's fall risk with adequate and timely fall preventions/interventions. An investigation determined that AV had falls on September 16, 2020, September 21, 2020, October 6, 2020, October 11, 2020, October 18, 2020, November 21, 2020, two falls on October 23, 2020, and January 2, 2021. AV was not placed on a fall risk prevention program until January 13, 2021. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP21-01608 $1500.00 fine assessed