Violation Details: 00209629-AP-169440

Date
5/9/2022
Report number
00209629-AP-169440
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
The facility failed to implement interventions and provide appropriate supervision related to the Alleged Victim’s (AV) known history of falls. The failure resulted in AV experiencing a fall on May 9, 2022 in which AV sustained an abrasion to his/her forehead. Based on facility documentation and interviews, the facility failed to implement new interventions after AV's last fall on April 21, 2022. The facility's failure caused AV unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP22-00923 $1000.00 fine assessed