- Date
- 9/20/2024
- Report number
- 00360453-AP-316106
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to provide service
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) is care planned for two-person transfers and on-person assist for ambulation. AV is known to not like to rely on facility staff to help with transfers or ambulation and forgetting to use his/her call button. According to the investigation, AV had approximately six falls between June 28, 2024, and October 17, 2024, while attempting to self-transfer, resulting in some injuries, including a pelvic rami fracture, a concussion and multiple skin injuries. The facility failed to provide appropriate services according to resident needs, relating to care planning and lack of appropriate interventions, to mitigate falls and self-transferring, which is a violation of resident rights, is neglect of care which constitutes abuse.
- Sanction
- ALFCP25-00047 $1500.00 fine assessed