Violation Details: 00220874-AP-179678

Records Request Print
Date
9/13/2022
Report number
00220874-AP-179678
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate 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: 411-054-0036(2)(g)
External site: 411-054-0040(1)(c)
Findings
The facility failed to provide appropriate services according to the Alleged Victim’s (AV) needs. Dating back to August 20, 2022, the Alleged Victim (AV) had multiple falls, some resulting in injury, and there are multiple instances that it appears the care plan was not being followed, and / or care changes were not relayed to staff timely. On or about September 13, 2022, AV was noted to have approximately four (4) pressure sores, on AV’s back and heels. The facility failed to provide appropriate services to respond to AV’s change of conditions, which caused unreasonable discomfort, is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP23-00079 $375.00 fine assessed