- Date
- 11/14/2024
- Report number
- 00366709-AP-316956
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) is care planned as a fall risk and has some interventions in place to reduce falls, such as proper footwear, calling for assistance with transfers and increased safety checks. Between November 8, 2024 and November 16, 2024, AV suffered 11 falls, with and without injury. On some falls, AV was not wearing proper footwear and on other falls, AV's pendant was not on when he/she fell. Interventions placed after these falls were not effective and often recycled. The facility's failure to properly care plan to reduce the risk of falls is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- ALFCP25-00107 $188.00 fine assessed