- Date
- 5/8/2024
- Report number
- 00331066-AP-282347
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) is dependent on facility staff to assist with transfers, has a history of falls while in their room related to seizures and weakness. According to an investigation, on or about May 8, 2024, AV was found on the floor in the bathroom, was minimally responsive and was transported to the hospital. AV was then diagnosed with frontal sinus and orbital fractures. AV’s current service planned interventions included monitoring and assistance of AV during transfers. The facility failed to develop and implement interventions to reduce the risk of additional falls, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- ALFCP24-00760 $188.00 fine assessed