Violation Details: 00232786-AP-190503

Date
11/19/2022
Report number
00232786-AP-190503
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Findings
Alleged Victim (AV) relies on the facility for his/her care. AV is care planned to be assisted with incontinence care at least twice per shift and as needed. On or about November 19, 2022, AV called staff to assist with brief change. AV fell asleep in his/her wheelchair and was not assisted until the next day when he/she was found sitting in soiled briefs that had seeped out of his/her pants and through an incontinence pad onto his/her wheelchair, causing a loss of dignity and unreasonable discomfort. The facility failed to follow the care plan which is a violation of resident’s rights is neglect of care and constitutes abuse.
Sanction
ALFCP23-00117 $500.00 fine assessed