Violation Details: 00404483-AP-355452

Records Request Print
Date
5/24/2025
Report number
00404483-AP-355452
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious 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 facility failed to implement new and progressive fall interventions and failed to provide appropriate supervision related to the Alleged Victim’s (AV) known history of falls. On May 24, 2025, AV suffered an unwitnessed fall which resulted in a fracture to his/her small toe. During the month of May 2025, AV suffered 4 falls prior to fall on May 24, 2025. The facility's failure to properly care plan for AV's fall risk resulted in AV experiencing several falls, causing AV unreasonable discomfort, which is a moderate violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP25-00423 $1500.00 fine assessed