- Date
- 1/27/2026
- Report number
- 00469417-AP-421949
- 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 fall risk and has a history of falls. According to an investigation, on or about January 27, 2026, AV was found on the floor. The AV was sent to the hospital on January 30, 2026, related to severe pain and diagnoses with a lumbar compression fracture. No new fall or safety interventions were developed or implemented to mitigate additional falls or injuries. The AV fell two additional times, on March 25, 2026, and on April 8, 2026. The facility failed to appropriately care plan, which is a violation of resident’s rights, is neglect of care, and constitutes abuse.
- Sanction
- ALFCP26-00278 $1125.00 fine assessed