Violation Details: 00365293-AP-315586

Records Request Print
Date
11/7/2024
Report number
00365293-AP-315586
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)
External site: 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) is a known fall risk and had suffered falls three times in the month of October 2024. On or about November 7, 2024, AV was found on the floor next to his/her bed, with his/her blanket and pillow and blood covering AV. AV was sent to the hospital immediately and diagnosed with a fractured nasal bone, bruising and multiple skin tears. The facility's failure to implement interventions to prevent AV from falling is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP25-00065 $375.00 fine assessed