Violation Details: 00158130-AP-125416

Date
8/28/2021
Report number
00158130-AP-125416
Type
Abuse: Neglect
Level
4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
Allegation
Failed to properly plan care
Result
Substantiated
Findings
Alleged Victim (AV) relies on the facility for his/her care. AV has a history of falls, which included at least two falls between May 24, 2021, and July 21, 2021, but the facility failed to implement any new interventions. On or about August 28, 2021, AV was found on the floor and sent to the hospital where he/she was diagnosed with a fracture to the spine. The facility failed to care plan for AV's known history of falls which is a violation of resident rights, is neglect of care which constitutes abuse.
Sanction
ALFCP22-00382 $2500.00 fine assessed