Violation Details: 00339923-AP-290741

Records Request Print
Date
7/2/2024
Report number
00339923-AP-290741
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to obtain medical order
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0030(2)(b)
Findings
The Alleged Victim (AV) had a CPAP machine when he/she moved into the facility. Former facility staff placed AV's CPAP in the closet and told AV he/she did not need it any longer. AV is having episodes of hypoxemia and still needs to use his/her CPAP. AV needed a physician order to use his/her CPAP. The facility failed to get a physician order for AV to use his/her CPAP, placing AV at risk for harm. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP24-01107 $750.00 fine assessed