- Date
- 6/4/2022
- Report number
- 00203891-AP-164391
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- According to the documentation, the facility failed to follow the care plan of the Alleged Victim’s (AV) by placing their fall mat next to their bed when the AV was in bed. On or about June 04, 2022, the AV fell out of their bed and landed on the floor. When the AV was found, the fall mat was not placed next to their bed and the AV was on the ground. The AV was sent to the hospital for evaluation for serious injury. They returned later that day with a diagnosis of a hematoma on their head. The facility failed to follow the care plan by placing the fall mat next to AV’s bed placing the AV at risk of harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- ALFCP25-00092 $188.00 fine assessed