Violation Details: 00398378-AP-349048

Records Request Print
Date
4/27/2025
Report number
00398378-AP-349048
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)(g)
Findings
On or about April 27, 2025, the facility failed to provide appropriate services according to the Alleged Victim’s (AV) care needs and wound care. The facility's failure resulted in AV experiencing unreasonable discomfort and tissue damage due to an improperly wrapped bandage, which is a violation of resident rights, is considered neglect of care and constitutes abuse. Alleged Perpetrator 3 (AP3), Alleged Perpetrator 4 (AP4), Alleged Perpetrator 5 (AP5) allegedly neglected AV. An investigation determined no abuse occurred by AP3, AP4, and AP5. Alleged Perpetrator 2 (AP2) allegedly neglected AV. An investigation inconclusively determined no abuse occurred by AP2.
Sanction
ALFCP26-00149 $1125.00 fine assessed