Violation Details: 00353966-AP-304315

Date
9/10/2024
Report number
00353966-AP-304315
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to properly plan care
Result
Substantiated
Findings
Alleged Victim (AV) relies on the facility for his/her care needs. On or about July 4, 2024, AV fell and sustained three (3) fracture ribs and on August 19, 2024, AV once again fell and hurt his/her knee and ankle. On or about September 10, 2024, AV was found lying on the bathroom floor. As a result of this fall, AV sustained a fractured clavicle. After all of these falls, AV continued to be assessed as independent with mobility, toileting and dressing. The facility failed to care plan and mitigate AV’s risk of falls, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
ALFCP25-00152 $375.00 fine assessed