Violation Details: 00194147-AP-155513

Date
3/31/2022
Report number
00194147-AP-155513
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
Result
Substantiated
Findings
According to the documentation, the facility failed to properly care plan appropriate fall interventions for the Alleged Victim’s (AV) known fall history. From approximately March 27, 2022, through March 29, 2022, the AV suffered approximately three falls, two which caused injury. On or about March 29, 2022, after the fall, EMS was called due to the AV experiencing shoulder pain. The failure to properly care plan appropriate fall interventions for the AV’s known fall risk is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP24-00844 $250.00 fine assessed