- Date
- 7/9/2024
- Report number
- 00384107-AP-334698
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- Alleged Victim (AV) is a resident of the facility and relies on facility staff to ensure basic care, safety and supervision needs are met. AV Service Plan dated on or about December 23, 2024, indicates AV requires assistance with morning and evening dental care; requires oral care several times daily; staff to soak AV's dentures at night; and Staff to rinse AV's dentures in the morning before placing them in AV's mouth. On or about February 17, 2025, staff was alert that AV's dentures had been left in overnight and that they were hard to remove. Once they were out of AV's mouth, a sore on AV's bottom gum was found. On a different day staff was alerted AV's dentures had been removed, but AV's gums were covered in adhesive and AV's mouth hadn't been cleaned the night before. The facility failed to follow the care plan for AV's oral care, which likely led to the sore on AV's gum and resulted in pain and discomfort to AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- ALFCP25-00408 $500.00 fine assessed