Violation Details: 00234437-AP-191985

Records Request Print
Date
10/29/2022
Report number
00234437-AP-191985
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to properly plan care
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b)
411-054-0027(1)(f) and (r)
411-054-0028(2)
411-054-0036(2)(g)
Findings
On or about October 29, 2022, the Alleged Victim (AV) suffered a fall resulting in a laceration that required staples. The facility failed to implement interventions after AV's October 29, 2022 fall, leading to additional falls with injury. AV experienced a significant change of condition, including an unsteady gait, increased weakness and confusion, and complaints of pain. AV was later diagnosed with a hairline fracture to the right hip. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP23-00231 $500.00 fine assessed