Violation Details: 00360190-AP-310514

Records Request Print
Date
9/15/2024
Report number
00360190-AP-310514
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to follow care plan
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: 411-054-0036(2)(b) and (g)
External site: 411-054-0070(1)
Findings
The Alleged Victim (AV) relies on the facility for his/her care. The Alleged Victim (AV) was care planned for assistance with transferring, reposition, toileting, and total assistance for dressing. AV had a pressure sore that that fluctuated in severity. According to an investigation, AV was found soaked in urine by multiple staff members on many separate occasions due to lack of staffing, resulting in unreasonable discomfort, lack of dignity and placing AV at risk of serious harm. The facility failed to follow AV’s care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP25-00080 $1500.00 fine assessed