- Date
- 7/3/2024
- Report number
- 00340032-AP-290873
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- According to the documentation, the facility failed to properly care plan appropriate fall interventions for the Alleged Victim’s (AV) known fall history. From approximately March 28, 2024, through June 26, 2024, the AV suffered approximately five falls with the only updates to the service plan was to ensure the AV’s apartment was free of clutter and encourage them to wear non-slip footwear. On or about June 27, 2024, the AV suffered another fall causing pain and unreasonable discomfort. The facility’s failure to implement appropriate fall interventions to prevent pain or unreasonable discomfort is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- ALFCP24-00801 $500.00 fine assessed