Violation Details: 00262904-AP-218022

Date
4/8/2023
Report number
00262904-AP-218022
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide service
Result
Substantiated
Findings
The Alleged Victim (AV) was care planned on a trial-basis for a self-administering medication. According to an investigation, on or about April 8, 2023, AV took several medications together and went into three resident’s rooms with no pants on, which resulted in loss of personal dignity. Prior to this incident, AV had been showing a decline in the ability to understand medication instructions and on or about April 4, 2023, was taken to the hospital for not taking medications according to doctor’s orders. The facility failed to provide appropriate services according to AV’s needs, related to monitoring and care planning, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
ALFCP23-00477 $250.00 fine assessed