Violation Details: 00238923-AP-195969

Date
12/28/2022
Report number
00238923-AP-195969
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
Result
Substantiated
Findings
According to the documentation, the facility failed to properly care plan for the Alleged Victim’s (AV) request to be toileted every hour. On or about December 28, 2022, the AV slid out of bed as they were trying to go to the restroom. Alleged Perpetrator 2 (AP2) stated they last checked the AV approximately two and a half hours prior to the incident. The failure to properly care plan resulted in a fall and the AV sustaining multiple skin tears and pain, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP24-00259 $375.00 fine assessed