Violation Details: 00122696-AP-095323

Date
1/26/2021
Report number
00122696-AP-095323
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Findings
Alleged Victim (AV) is care planned to have the facility to monitor his/her blood pressures. On or about January 26, 2021, AV was feeling very faint and “seeing white” and pressed his/her pendent. Staff responded to the pendent call but did not understand AV needed AV’s blood pressure checked. AV states he/she passed out from low blood pressure. AV had to go to the hospital for treatment related to the low blood pressure. The facility failed to follow AV’s care plan, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
ALFCP21-03155 $188.00 fine assessed