Violation Details: 00455689-AP-407834

Records Request Print
Date
1/30/2026
Report number
00455689-AP-407834
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), 411-054-0027(1)(g) and (s), 411-054-0028(2), and 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) relies on the facility for care and services. According to an investigation, the facility conducted a fire drill, and a caregiver assisted AV down the stairs during this drill. AV's care plan states that AV uses a wheelchair for ambulation. The facility does have 3 evacuation chairs, but the staff did not know how to operate the chairs. As a result of AV ambulating down the stairs, AV suffered pain and had to go to the hospital. The facility failed to follow the care plan for AV, which is a violation of resident rights, is considered neglect which constitutes abuse.
Sanction
ALFCP26-00095 $188.00 fine assessed