Violation Details: 00354075-AP-304413

Records Request Print
Date
9/11/2024
Report number
00354075-AP-304413
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), 411-054-0027(1)(g) and (s), 411-054-0028(2), 411-054-0036(2)(g), 411-054-0040(1)(d)(A)
Findings
The Alleged Victim (AV) resides at the facility and has a recent history of previous falls. AV's care plan included use of a call pendant AV would wear around his/her neck. According to an investigation, on or about September 11, 2024, AV fell in their apartment after tripping, resulting in back pain, a fractured ankle and required hospitalization and surgical repair. Fall interventions had not been determined and implemented following the previous falls to reduce the risk of falls. The facility failed to properly care plan, which is a violation of resident’s rights, is neglect of care and constitutes abuse.
Sanction
ALFCP25-00182 $750.00 fine assessed