Violation Details: 00222427-AP-181288

Records Request Print Provider Details
Date
9/22/2022
Report number
00222427-AP-181288
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide service
Result
Substantiated
Rule(s) Violated
411-054-0027(1)(f) and (r)
411-054-0028(2)
Findings
Alleged Victim (AV) developed a wound to their bottom and staff were to apply Zinc to AV’s buttocks wound twice a day. Between August 1st through August 31st, 2022, there were 15 days that the Zinc was only applied one time a day. Between September 1st, through September 29, 2022, there were 19 days that the Zinc was only applied one time a day. On or about September 29, 2022, one of the buttock wounds developed into a stage III wound. On or about September 3, 2022, Mepilex was ordered to be changed daily on both buttocks. Between September 3rd through September 29th, 2022, there were 13 days the Mepilex was not changed. The facility failed to provide service to AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
ALFCP23-00412 $225.00 fine assessed