Violation Details: 00185495-AP-147714

Records Request Print
Date
2/22/2022
Report number
00185495-AP-147714
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide oversight and monitoring of change of condition
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: 411-054-0040(1)(a) and (d)
Findings
On or about February 20, 2022, the Alleged Victim (AV) advised staff that he/she was not feeling well and had vomited. No treatments were offered to AV to help ease his/her discomfort. Staff did not notify the Nurse or place AV on any type of alert charting to monitor his/her symptoms. On or about February 22, 2022, AV requested to be sent to the Emergency Room and was diagnosed with a bowel obstruction. The facility's failure placed AV at risk for serious harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP22-00356 $375.00 fine assessed