Violation Details: 00108534-AP-083268

Records Request Print
Date
10/22/2020
Report number
00108534-AP-083268
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)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
On or about October 22, 2020, the Alleged Victim (AV) was found to have a laceration/ skin breakdown around his/her supra pubic catheter site. AV was care planned to have this/her catheter sponge replaced daily, which alleviates the pressure of the catheter. Facility staff was not replacing the sponge daily, leading to skin breakdown for AV, causing unreasonable discomfort. The facility failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP21-03175 $500.00 fine assessed