Violation Details: 00135132-AP-106082

Records Request Print
Date
4/16/2021
Report number
00135132-AP-106082
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide service
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: 411-054-0055(1)(a) and (f)
Findings
On or about February 1, 2021, it was indicated that the Alleged Victim (AV) had a stage 2 pressure wound on his/her buttock area. In March 2021, AV was ordered wound care, and staff were to complete wound care in between home health wound care. Facility staff did not follow wound care protocols, placing AV at risk for harm. AV's wound worsened, causing unreasonable discomfort for AV. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP23-00417 $375.00 fine assessed