Violation Details: 00298718-AP-252150

Date
11/27/2023
Report number
00298718-AP-252150
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to properly plan care
Result
Substantiated
Findings
The Alleged Victim (AV) is a known fall risk with a history of falls. The facility failed to provide appropriate services according to Alleged Victim’s needs, relating to care planning and lack of appropriate interventions, to mitigate the risk of injury due to AV's increase in falls. According to an investigation, AV experienced multiple falls between September 6, 2023, and November 26, 2023, some with injuries or unreasonable discomfort. On or about November 27, 2023, AV experienced another fall that resulted in a fractured femur. This failure is a violation of resident rights, is neglect of care which constitutes abuse.
Sanction
ALFCP24-00232 $338.00 fine assessed