Violation Details: 00402765-AP-353765

Records Request Print
Date
5/19/2025
Report number
00402765-AP-353765
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide service
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b), 411-054-0027(1)(g) and (s), 411-054-0028(2) and 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) relies on the facility for his/her care. AV has a history of falls while self-transferring and is known to be unable to use the call system consistently. According to an investigation, on or about May 19, 2025, AV experienced a fall, resulting in a fracture to his/her left rib. The facility failed to provide appropriate services according to the Alleged Victim (AV)'s needs, relating to care planning involving change of condition, number of falls with lack of appropriate interventions, and known inability to use the call system. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP25-00311 $1125.00 fine assessed