Violation Details: 00216337-AP-175440

Date
8/17/2022
Report number
00216337-AP-175440
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to properly plan care
Result
Substantiated
Findings
The Alleged Victim (AV) has a history of falls. On July 20, 2022, AV was identified as needing more assistance with mobility and transfers, however, AV's care plan was not updated to include AV's change of condition. On or about July 21, 2022, AV had an unwitnessed fall where he/she suffered a subdural hematoma and was hospitalized. The facility's failure to properly care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP23-00244 $500.00 fine assessed