Violation Details: 00163501-AP-129628

Records Request Print
Date
10/1/2021
Report number
00163501-AP-129628
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to properly plan care
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: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) is known to have skin issues and the facility is to monitor these issues. Home Health had requested for barrier cream to be applied twice daily to the area for prevention. The facility failed to place this information in AV's care plan, therefore, the barrier cream was not being applied as ordered. AV went to the hospital on October 1, 2021 with a stage 2 pressure ulcer. The facility's failure to properly care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP21-03314 $500.00 fine assessed