Violation Details: 00118653-AP-091991

Date
10/2/2019
Report number
00118653-AP-091991
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to assist with eating
Result
Substantiated
Findings
Alleged Victim (AV) relies on the facility for his/her care. On or about October 2, 2019, AV was admitted to the hospital with severe dehydration and urinary tract infection. The attending physician noted that the urinary tract infection was a result of wearing the same soled diaper all day without been changed. AV’s urine was “thick” and looked like “orange juice”. There were times in which AV’s bedding and physical body was “soaked with urine”. AV was not been provided fluids and hydration monitoring during this time. AV is unable to eat his/her food without cuing from staff due to severe cognitive deficits. AV is wheelchair bound and unable to reach food on his/her own when staff placed food containers/trays out of reach on the counter tops. The facility failed to assist AV with his/her hygiene and with eating, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
ALFCP21-02771 $250.00 fine assessed