Violation Details: 00132307-AP-103580

Records Request Print
Date
10/28/2020
Report number
00132307-AP-103580
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: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(A)
External site: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) has a history of falls, and is care planned to be assisted with ambulation. AV suffered a fall on October 23, 2020 and suffered a bump to the head, AV suffered a second fall October 28, 2020, which resulted in a brain bleed and a cracked pelvis. The facility failed to implement meaningful interventions to ensure AV's safety after the earlier fall. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP22-00574 $500.00 fine assessed