Violation Details: 00206303-AP-166416

Records Request Print
Date
6/19/2022
Report number
00206303-AP-166416
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(A)
External site: 411-054-0036(2)(g)
Findings
On or about June 19, 2022, the Alleged Victim (AV) suffered a fall in his/her room while trying to transfer from the bathroom back to his/her wheelchair. AV was left standing in the bathroom alone by staff. AV is known not to use his/her call light when he/she needs help. AV fell and suffered a cervical spine fracture and a scalp laceration, requiring 15 stitches. The facility failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP22-00699 $500.00 fine assessed