- Date
- 4/5/2023
- Report number
- 00256085-AP-211591
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- The facility failed to provide appropriate services according to the Alleged Victim (AV)'s needs, relating to lack of care planning and instruction. According to an investigation, the AV was care planned to have leg wrapped with a non-adherent pad due to his/her cellulitis, but the care plan also indicated that AV did not require any wound care and the Medication Administration Record (MAR) did not contain any instructions on wrapping AV’s leg. On or about, April 4, 2023, it was discovered that Alleged Perpetrator 2 (AP2) had wrapped the Alleged Victim’s (AV) leg with gauze, without receiving wound care training, and when removed, AV experienced unreasonable discomfort. The facility’s failure is a violation of resident rights, is neglect of care and constitutes abuse. The allegation that AP2 did not follow the care plan was investigated and determined to be Not Substantiated.
- Sanction
- ALFCP23-00391 $188.00 fine assessed