Violation Details: 00291715-AP-245669

Date
10/17/2023
Report number
00291715-AP-245669
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to properly plan care
Result
Substantiated
Findings
The facility failed to implement interventions and appropriately care plan regarding Alleged Victim’s (AV) known fall risk. Between April 7, 2023, and October 10, 2023, AV had approximately eight (8) documented falls. On or about October 17, 2023, AV fell and was transported to the hospital and diagnosed with a fractured ankle, a concussion, and a laceration of the head. The facility failed to implement interventions to mitigate AV’s increasing fall risk, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP24-00044 $375.00 fine assessed