Violation Details: 00301309-AP-254490

Records Request Print Provider Details
Date
12/12/2023
Report number
00301309-AP-254490
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
Rule(s) Violated
411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028
411-054-0036(2)(g)
411-054-0040(1)(a) and (d)
Findings
The facility failed to provide appropriate services according to Alleged Victim's (AV) care needs concerning AV's skin impairment. Based on facility documentation and interviews, staff did not place AV on alert monitoring and also failed to notify facility nurse when staff observed AV's perineal and abdominal fold with a rash on November 26, 2023. As a result of this failure, AV did not receive an appropriate treatment plan from AV's medical provider until after AV returned from visiting Witness 1 (W1) on December 7, 2023. The facility's failure resulted in AV's unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP25-00340 $500.00 fine assessed