- Date
- 10/3/2021
- Report number
- 00181378-AP-144215
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- Alleged Victim (AV) had a known history of falls. Between June through October 2021, AV sustained approximately six (6) falls. On or about October 3, 2021, AV was found face-down on the floor. AV suffered a contusion to the head and as a result of the fall, AV suffered a scalp laceration which required 28 stitches to close, and a spinal fracture. The facility failed to care plan appropriately and implement interventions to mitigate AV’s risk of falls, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- ALFCP22-00771 $1500.00 fine assessed