- Date
- 8/28/2025
- Report number
- 00427751-AP-379427
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) is a known fall risk with a history of falls. According to an investigation AV experienced multiple falls between August 20, 2025, and November 4, 2025, which resulted in pain and injuries including lacerations, bruising, emergency department visits, and impaired mobility. The facility failed to provide appropriate services according to Alleged Victim’s needs, relating to care planning and lack of appropriate interventions, to mitigate the risk of injury due to AV's increase in falls, which is a violation of resident rights, is neglect of care, and constitutes abuse.
- Sanction
- ALFCP26-00145 $1500.00 fine assessed