- Date
- 3/7/2021
- Report number
- 00128488-AP-100155
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to assure food safety
- Result
- Substantiated
- Findings
- On or about March 7, 2021 and again on March 16, 2021, the Alleged Victim (AV) was given ice cream that was not on his/her care plan. AV needs special ice cream so he/she will not choke. On the March 7 incident, AV was sent to the hospital for aspiration pneumonia. AV's care plan wasn't specific as necessary for staff to understand why AV needed a particular ice cream. Alleged Perpetrator #2 (AP2) and Alleged Perpetrator #3 (AP3) gave AV the ice cream on each occasion, which placed AV at risk for harm. AP2 and AP3's actions are a violation of resident rights, is considered neglect of care and constitutes abuse. The facility's failure to provide a clear care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- ALFCP21-01659 $188.00 fine assessed