Violation Details: 00101127-AP-076873

Date
9/4/2020
Report number
00101127-AP-076873
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to address resident's behavior
Result
Substantiated
Findings
The facility failed to ensure the Alleged Victim's (AV) care needs were being met due to a lack of service planning for catheter care. AV pulled his/her catheter out many times without the facility making any changes to his/her care plan or increased monitoring of AV to ensure AV was not pulling his/her catheter out. AV's pulling out the catheter caused undo pain and suffering to the AV. The AV was transferred to a higher level of care with available 1:1 care as needed. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP21-01225 $250.00 fine assessed