Friday, February 27, 2009

Alshore House in Chicago Fined for Failing to Take Steps to Prevent Falls

Alshore House
2840 West Foster Ave, Chicago
Fined- February 5, 2008
Alshore House was fined $20,000 for failure to prevent and address falls among residents.
Based on observation, interviews and record review, facility staff failed to provide consistent supervision for residents who were identified as high risk for falls, neglected to complete re-assessments following each resident fall incident, and did not create updated care plans following each fall incident with specific interventions and approaches for staff to implement to prevent further falls.
Between April and December of 2007, two residents had multiple falls, resulting in numerous fractures and head injuries. Both residents required multiple trips to the emergency room to address the injuries sustained during the falls. Another resident suffered a fall as the result of continued self-transfer from bed to wheelchair despite increasing frailty. After the fall, staff neglected to alter the resident’s care plan to anticipate and prevent self-transfer.

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