- Date
- 8/21/2024
- Report number
- 00355737-AP-306470
- 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 Alleged Victim (AV) relies on the facility to assist with activities of daily living. According to an investigation, on or about August 11, 2024, the AV was placed on alert charting related to a pressure ulcer on the right foot. Wound care instructions left by a medical provider were not implemented. A change in the condition of the AV's lower right extremity, including swelling, redness, and being hot to the touch, were not monitored or documented. The AV was admitted to the hospital and presented with sepsis secondary to right lower extremity cellulitis. The facility failed to implement wound care as ordered and to monitor the AV's changes in condition, which is a violation of resident’s rights, is neglect of care, and constitutes abuse.
- Sanction
- ALFCP25-01029 $500.00 fine assessed