Violation Details: 00396318-AP-347154

Records Request Print
Date
4/1/2025
Report number
00396318-AP-347154
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate 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) relies on the facility for his/her care and has a history of falls. AV is known not to use AV’s call light and is care planned for standby assist with all ambulation. According to an investigation, on or about April 1, 2025, AV experienced a fall resulting in skin injury. The facility failed to implement interventions to mitigate the risk of injury due to AV's increase in falls. The facility failed to appropriately plan care and/or implement interventions to mitigate the risk of injury, which is a violation of resident rights, is neglect of care which constitutes abuse.
Sanction
ALFCP25-01092 $500.00 fine assessed