Violation Details: 00263664-AP-218774

Records Request Print
Date
5/18/2023
Report number
00263664-AP-218774
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), 411-054-0027(1)(g) and (s), 411-054-0028(2)
External site: 411-054-0030(1)(e)(A) and (G), 411-054-0070(1)
Findings
The Alleged Victim (AV) relies on the facility for his/her care and has a history of falls. AV's service plan identified a high risk of falls with intervention of two staff assist with transfers and toileting. According to an investigation, between March 7, 2023, and May 18, 2023, AV experienced multiple falls when AV self-transferred. AV reported having to wait for extended periods when calling for assistance from staff, often having to wait more than an hour, resulting in unreasonable discomfort. A review of call logs verified extended call response times. The facility failed to answer call lights in a timely manner, which is a violation of resident’s rights, is neglect of care and constitutes abuse.
Sanction
ALFCP26-00037 $250.00 fine assessed