Violation Details: 00376521-AP-326944

Records Request Print
Date
1/7/2025
Report number
00376521-AP-326944
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g)
Findings
The Alleged Victim (AV) is a resident of the facility and requires facility supervision. AV does use oxygen and has a history of smoking. AV's care plan states staff supervision for smoking. On or about January 7, 2025, staff were in AV's room and smelled smoke. It was discovered that AV's oxygen tube was on fire, along with AV's bed and AV's pants. AV was transferred to the hospital and diagnosed with second degree burns on his/her legs. The facility's failure to follow the care plan to ensure AV's safety from smoking is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP25-00117 $500.00 fine assessed