Violation Details: 00435976-AP-387867

Records Request Print
Date
10/11/2025
Report number
00435976-AP-387867
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
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 Alleged Victim (AV) relies on the facility for their care. AV has a history of falls and is care planned for staff to provide physical assistance with transferring and all ambulation/mobility needs. According to an investigation, on or about October 11, 2025, while on a shopping trip with the facility, AV was ambulating without assistance and fell in a parking lot. AV received multiple injuries, including a bump on the right side of their head and scrapes on AV’s left knee and left elbow. The facility failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP26-00124 $250.00 fine assessed