Violation Details: 00174958-AP-138931

Records Request Print
Date
12/7/2021
Report number
00174958-AP-138931
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious 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)
External site: 411-054-0040(2)(a)
Findings
Alleged Victim (AV) relies on the facility for his/her care. AV was care planned for treatment of ulcer/skin impairment. On or about, December 7, 2021, AV was sent to the hospital where he/she presented with a pressure injury that was in various stages of injury. According to witnesses and documentation, the facility, failed to follow the care plan, resulting in AV experiencing pain and skin breakdown, which is a violation of resident rights, is neglect of care which constitutes abuse.
Sanction
ALFCP22-00487 $1500.00 fine assessed