Violation Details: 00322665-AP-274350

Records Request Print
Date
3/8/2024
Report number
00322665-AP-274350
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: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(H)
External site: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) is a known fall risk and has suffered numerous falls at the facility, including one that resulted in a spinal fracture. AV returned to the facility in February 2024 after recovery from the spinal fracture. On or about March 8, 2024, AV suffered another fall where AV suffered a laceration to his/her hand and head, requiring stitches. The facility failed to update AV's care plan to ensure effective fall interventions were in place. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP24-00249 $1500.00 fine assessed