Violation Details: 00152947-AP-121274

Date
7/29/2021
Report number
00152947-AP-121274
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
On or about July 30, 2021, Alleged Victim (AV) was discovered on the floor of his/her bedroom around 4:30am. An investigation determined that AV pulled his/her call light on 7/29/2021, between 8:30pm and 8:45pm and waited in his/her wheelchair with no assistance from facility staff. As AV waited, he/she became fearful and frightened, and then attempted a self-transfer resulting in the fall. It was later determined that AV's call light was not working properly at time of incident. 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
ALFCP21-03316 $225.00 fine assessed