Violation Details: 00261493-AP-216614

Records Request Print
Date
3/29/2023
Report number
00261493-AP-216614
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide service
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
The facility and Alleged Perpetrator 2 (AP2) failed to follow the Alleged Victim's (AV) care plan to provide two-person assistance during transfers. AP2 attempted to transfer AV by him/herself (due to insufficient number of staff available to assist) and AV experienced a fall with injury, which is a violation of resident rights, is considered neglect of care and constitutes abuse by both the facility and AP2.
Sanction
ALFCP23-00575 $375.00 fine assessed