- Date
- 11/14/2022
- Report number
- 00231790-AP-189608
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide service
- Result
- Substantiated
- Findings
- According to investigation and interviews, on or about November 14, 2022, AV experienced an unwitnessed fall while showering. AV was found crying, in severe pain, unable to put pressure on h/h left hip and stating that h/h hip was broken. AV was initially assessed on the floor for head injury, and then picked up and placed in four-wheel walker, pushed across the room, and transferred to h/h bed resulting in pain and unreasonable discomfort. The facility failed to have policy, procedures, and training to reflect best practices when there is a fall with a resident in severe pain, causing additional pain to AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- ALFCP23-00468 $188.00 fine assessed