Violation Details: 00184177-AP-146635

Date
2/13/2022
Report number
00184177-AP-146635
Type
Abuse: Neglect
Level
4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
Allegation
Failed to properly plan care
Result
Substantiated
Findings
The facility failed to implement interventions and appropriately care plan related to Alleged Victim's (AV) fall history when AV was diagnosed with a communicable disease necessitating quarantining AV in his/her room. The facility's failure resulted in AV experiencing two falls in the same day in which one of the falls required AV be transferred to the hospital for emergency evaluation in which AV was diagnosed with a fracture to his/her T6 vertebrae requiring surgery. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP22-00645 $2500.00 fine assessed