Violation Details: 00290953-AP-244978

Records Request Print Provider Details
Date
10/14/2023
Report number
00290953-AP-244978
Type
Abuse: Neglect
Level
4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
Allegation
Failed to provide service
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b)
411-054-0027(1)(f) and (r)
411-054-0028(2)
411-054-0036(2)(g)
Findings
On or about October 14, 2023, Alleged Victim (AV) was found deceased in his/her room. Based on facility documentation and interviews, AV had a diagnosis of heart failure, and care staff did not provide adequate care to AV during the night leading up to AV's death when he/she showed signs of being outside his/her baseline. Facility staff failed to notify facility nurse of AV's symptoms per instructions in AV's care plan. Facility staff did not call 911 based on the totality of AV's heart failure symptoms. The facility's failure to provide basic care and services necessary to maintain AV's health and safety is a violation of residents rights, is considered neglect of care, and constitutes abuse.
Sanction
ALFCP23-00718 $2500.00 fine assessed