Violation Details: 00193402-AP-154730

Records Request Print
Date
4/4/2022
Report number
00193402-AP-154730
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to intervene when resident's condition changed
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(r)
External site: 411-054-0028(2)
External site: 411-054-0040(1)(a) and (d)
External site: 411-054-0055(1)(a) and (f)
Findings
On or about April 4, 2022, the Alleged Victim (AV) was not feeling well and it was recorded that his/her blood sugar reading was high. AV's Primary Care Physician (PCP) has instructed the facility to contact him/her if AV's blood sugar is over 350 for three consecutive readings. On April 4, 2022, AV's blood sugar was over 350 five (5) consecutive readings. Neither Alleged Perpetrator #2 (AP2) or any other facility staff contacted AV's PCP to advise of the increased blood sugar reading, placing AV at risk for harm. AP2's actions are a violation of resident rights, are considered neglect of care and constitutes abuse. The facility failed to intervene at AV's change of condition, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP22-00603 $250.00 fine assessed