Violation Details: 00308381-AP-261135

Records Request Print
Date
1/22/2024
Report number
00308381-AP-261135
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide service
Result
Substantiated
Rule(s) Violated
External site: 411-054-0027 (1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
External site: 411-054-0040(1)(a) and (d)
Findings
The Alleged Victim (AV) is a known fall risk with a history of falls. According to an investigation, AV experienced a change of condition on or about October 16, 2023, and on or about January 22, 2024, AV experienced a fall that resulted in an injury to AV’s face and forehead. The facility failed to provide appropriate services according to Alleged Victim’s needs, relating to care planning, lack of appropriate interventions and instruction, to mitigate the risk of injury due to AV's increase in falls. This failure is a violation of resident rights, is neglect of care which constitutes abuse.
Sanction
ALFCP24-00149 $188.00 fine assessed