Violation Details: 00441671-AP-394536

Records Request Print
Date
11/21/2025
Report number
00441671-AP-394536
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
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)
External site: 411-054-0036(2)(g), 411-054-0040(1)(d)(A) and (B)
Findings
The Alleged Victim (AV) is dependent on the facility to meet his/her safety needs and has a history of falls. According to an investigation, between October 17, 2025, and November 18, 2025, AV had more than 8 falls. AV experienced multiple falls before new interventions were put in place. The facility failed to timely develop fall interventions to address AV’s fall risk, resulting in injury and bruising. The facility failed to properly plan care for AV, which is a violation of resident rights, is considered neglect of care which constitutes abuse.
Sanction
ALFCP26-00158 $500.00 fine assessed