Violation Details: 00306672-AP-271317

Records Request Print
Date
1/10/2024
Report number
00306672-AP-271317
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to properly plan care
Result
Substantiated
Rule(s) Violated
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
On February 1, 2024, Alleged Victim (AV) suffered an unwitnessed fall that resulted in multiple injuries. Based on facility documentation and interviews, the facility failed to update AV's Service Plan between AV's fall on January 10, 2024, and AV's fall on February 1, 2024. The facility's failure to implement interventions and provide appropriate supervision related to the AV's known history of falls. The facility's failure caused AV continued pain and unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP24-00202 $2025.00 fine assessed