Violation Details: 00387205-AP-337681

Records Request Print
Date
3/3/2025
Report number
00387205-AP-337681
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
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: 411-054-0070(2)(a)
Findings
The Alleged Victim (AV) relies on the facility for assistance with transfers, which includes use of a gait belt. According to an investigation, on or about February 28, 2025, AV had a hard time pivoting and standing without AV’s right foot sliding from AV’s case and staff struggled to change AV’s brief while lifting the gait belt, resulting in a skin injury. The facility failed to provide a safe environment and ensure that staff were properly trained in the use of a gait belt, which is a violation of resident rights, is neglect of care which constitutes abuse.
Sanction
ALFCP25-00488 $188.00 fine assessed