Violation Details: 00180118-AP-143227

Records Request Print
Date
1/20/2022
Report number
00180118-AP-143227
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide service
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)
External site: 411-054-0040(1)(b) and (c)
External site: 411-054-0040(2)(a)
Findings
The facility failed to provide appropriate services according to Alleged Victim (AV)'s needs, relating to his/her change of condition, number of falls with lack of interventions, keeping his/her room free of clutter, and AV's known hesitation to call staff when needing assistance. AV experienced approximately thirty-one unwitnessed falls from approximately November 9, 2021, and January 24, 2022, which resulted in repeated unreasonable discomfort, as a result of some head injuries and skin tears. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP22-00894 $1500.00 fine assessed