- Date
- 5/3/2025
- Report number
- 00399189-AP-349906
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to provide service
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) relies on the facility for his/her care and has a history of falls and recent cognitive decline. On or about May 3, 2025, AV had a fall in their room resulting in a left hip fracture that required surgery. According to an investigation, after a recent injury fall, the facility added interventions that were already in place to the care plan. The facility failed to provide appropriate services, to include care planning and/or implementation of effective interventions to mitigate AV’s increasing fall risk and provide a safe environment for AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- ALFCP26-00036 $1125.00 fine assessed