Violation Details: 00151629-AP-120542

Records Request Print
Date
7/22/2021
Report number
00151629-AP-120542
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 basic care, services, and safety for Alleged Victim (AV) which resulted in AV experiencing physical harm and unreasonable discomfort due to injuries sustained in a fall. An investigation determined that facility failed to implement new, reasonable fall prevention interventions which resulted in AV experiencing five documented unwitnessed falls between March 26, 2021 and July 22, 2021, resulting in injury falls on July 21, 2021 and July 22, 2021. 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
ALFCP22-00151 $1125.00 fine assessed