- Date
- 4/2/2022
- Report number
- 00193109-AP-154470
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- Alleged Victim (AV) is care planned as independent mobility with the use of h/h walker or wheelchair. AV has history of non-compliance with community rules. AV has history of balance issues, has a diagnosis, and takes medications that affect balance and contribute to falls. On or about April 02, 2022, AV had an unwitnessed fall out of h/h wheelchair that resulted in a fracture injury. The facility failed to properly plan care around AV’s needs and provided interventions appropriate to mitigate AV falls which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- ALFCP22-00958 $250.00 fine assessed