Violation Details: 00177746-AP-141261

Records Request Print
Date
1/4/2022
Report number
00177746-AP-141261
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b)
411-054-0027(1)(f) and (r)
411-054-0028(2)
411-054-0036(2)(g)
Findings
The facility failed to implement interventions and / or appropriately care plan regarding Alleged Victim’s (AV) known fall risk. AV had multiple documented falls between October 23, 2021, and January 4, 2022, some resulting in injury including but not limited to a head injury, skin tears, abrasions and bruising. The facility failed to implement interventions to mitigate AV’s increasing fall risk, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP22-00611 $375.00 fine assessed