- Date
- 12/11/2023
- Report number
- 00301200-AP-254387
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to provide oversight and monitoring of change of condition
- Result
- Substantiated
- Findings
- The facility failed to provide appropriate services according to the Alleged Victim’s (AV) needs and wound care. Based on facility documentation and interviews, AV's buttocks/thigh wound was first noted on October 12, 2023, which measured approximately 4" X 2". According to facility's progress notes, there was no indication AV's wound was treated until November 14, 2023. The facility failed to obtain orders and/or treatment for AV's wound in a timely manner resulting in AV's wound increasing in size and become sepsis. The facility's failure resulted in AV’s condition worsening causing further unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- ALFCP24-00751 $500.00 fine assessed