Violation Details: 00198796-AP-159718

Date
5/8/2022
Report number
00198796-AP-159718
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to properly plan care
Result
Substantiated
Findings
Alleged Victim (AV) relies on the facility for his/her care. On or about May 8, 2022, AV sustained a fall and hit his/her head and shoulder in his/her room. As a result, AV sustained a fractured pinky and got a bruise on his/her face and had some pain. AV had previously fallen on or about March 16th, 25th and April 16th, 2022. No new fall preventions interventions following AV’s falls in March and April 2022 had been implemented. 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
ALFCP22-00883 $375.00 fine assessed