Violation Details: 00406471-AP-357491

Records Request Print
Date
6/7/2025
Report number
00406471-AP-357491
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide oversight and monitoring of change of condition
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0040(1)(a) and (d)
Findings
On or about May 23, 2025, it was noted that the Alleged Victim (AV) was not feeling well and showed signs of altered mental status. On May 30, 2025, a urinalysis for suspected urinary tract infection was ordered by AV's physician. Facility staff never collected a urine sample for testing. On or about June 7, 2025, AV suffered a fall, was transported to the hospital and diagnosed with a urinary tract infection. It is suspected that the urinary tract infection lead to AV's fall, placing AV at risk for serious harm. The facility's failure to intervene to a change of condition is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP25-00351 $250.00 fine assessed