- Date
- 8/28/2023
- Report number
- 00283202-AP-237636
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- The facility failed to follow Alleged Victim's (AV) care plan related to AV's fall risk. On August 28, 2023, AV was found on the floor during a safety check. Based on facility documentation and interviews, at time of incident AV's fall mat was not in place according to AV's care plan for fall prevention. The failure resulted in AV experiencing an unwitnessed fall, was transferred to the hospital and was diagnosed having fractured ribs, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- ALFCP24-00005 $1125.00 fine assessed