Violation Details: 00339923-AP-312204

Records Request Print
Date
6/30/2024
Report number
00339923-AP-312204
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)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) is a known fall risk. AV had multiple falls between January 2024 and July 1, 2024. AV was considered a fall risk beginning March 11, 2024, however, AV's care plan was not updated to reflect this or interventions to reduce the risk of falls. AV suffered a fractured toe, requiring skilled nursing and a two person assist. The facility's failure to properly care plan caused AV unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitute abuse.
Sanction
ALFCP24-01107 $750.00 fine assessed