Violation Details: 00439592-AP-391666

Records Request Print
Date
11/16/2025
Report number
00439592-AP-391666
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
The Alleged Victim (AV) relies on the facility for their care. AV is care planned for staff to assist with putting on/taking off AV’s compression stockings daily and the compression socks to be washed and hung up to dry for the next day. According to an investigation, on or about November 12, 2025, AV was found to have a 7 cm in width, 5 cm in length and 0.2 cm deep stage 3 wound on AV's left heel. The facility failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP26-00148 $1125.00 fine assessed