Violation Details: 00134843-AP-109873

Records Request Print
Date
5/9/2021
Report number
00134843-AP-109873
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: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
Alleged Victim (AV) is care planned to receive assistance from staff to empty his/her catheter bag 1-2 times per shift. On May 8th and 9th, 2021, Witness 1 (W1) visited AV at 4:30 pm on both occasions. W1 found AV’s catheter bag needed to be emptying. AV’s catheter bag was full to the point of no longer accepting urine, urine was backing up into the tubing. The facility failed to follow AV’s care plan, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
ALFCP21-02948 $1000.00 fine assessed