Violation Details: 00343158-AP-293756

Records Request Print
Date
7/17/2024
Report number
00343158-AP-293756
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide service
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b), 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) relies on the facility for care and is a known fall risk. AV is documented as being an occasional assist with toileting and for staff monitoring for changes. AV is known to be forgetful. According to an investigation, staff were not provided with direction to check on AV throughout the day and/or frequency they should be monitoring AV. On or about July 17, 2024, AV had a fall off the toilet, resulting in contusions to AV’s face and forehead. The facility failed to provide appropriate services according to Alleged Victim’s needs, regarding care planning, safety checks and monitoring, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP25-00240 $375.00 fine assessed