Violation Details: 00371593-AP-322081

Records Request Print
Date
12/13/2024
Report number
00371593-AP-322081
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide medical treatment as ordered
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)
Findings
According to the documentation, the facility failed to follow doctor’s orders to provide a cushion for the Alleged Victim’s (AV) wheelchair to prevent skin breakdown. On or about October 30, 2024, the AV received orders for a cushion. There was no documented evidence the facility ordered the cushion until approximately December 16, 2024. The failure to follow doctor’s orders and provide a seat cushion put the AV at risk of harm to develop or have their current wounds worsen, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP25-00125 $500.00 fine assessed