Violation Details: 00243703-AP-200097

Date
1/21/2023
Report number
00243703-AP-200097
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
The Alleged Victim (AV) is care planned for assistance on an off the toilet, is a high fall risk, and has a history of falls. According to an investigation, on or about January 21, 2023, the AV was assisted to the toilet and left unattended. The AV used their call pendent and the bathroom call cord to request assistance off the toilet. There was no response to the call light or pendent for in excess of an hour. The AV attempted to transfer independently and fell, causing unreasonable discomfort and placing the AV at a risk of harm. The facility failed to provide appropriate services according to AV’s needs, which is a violation of resident rights, is neglect of care, and constitutes abuse.
Sanction
ALFCP25-00381 $500.00 fine assessed