- Date
- 6/15/2025
- Report number
- 00407986-AP-359336
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- According to the documentation, the facility failed to properly care plan interventions for the Alleged Victim’s (AV) known history of falls with injury. On or about March 17, 2025, the AV fell and fractured their hip. They received PT/OT services and was transferred back to the facility. AV transferred out of the secured unit to the ALF on or about June 03, 2025. There is no documented evidence the fall interventions from the previous service plan at the secured unit was implemented on the ALF service plan. On or about June 15, 2025, AV suffered a fall and fractured their hip. The failure to properly care plan appropriate interventions for the AV’s known fall history is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- ALFCP25-00997 $1125.00 fine assessed