Violation Details: 00242970-AP-199432

Records Request Print
Date
1/11/2023
Report number
00242970-AP-199432
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to properly plan care
Result
Substantiated
Rule(s) Violated
411-054-0027(1)(f) and (r)
411-054-0028(2)
411-054-0036(2)(g)
Findings
The Alleged Victim (AV) has a history of falls and was care planned as a high fall risk. Based on an investigation, AV experienced multiple falls from approximately January 11, 2023, and January 19, 2023, with the majority being unwitnessed, and resulted in AV experiencing repeated unreasonable discomfort, including several head injuries. The facility failed to appropriately implement interventions or care plan for Alleged Victim’ needs, relating to falls, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP23-00387 $375.00 fine assessed