- Date
- 5/9/2020
- Report number
- 00083905-AP-062552
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to assure timely medical treatment
- Result
- Substantiated
- Findings
- On or about April 26, 2020 the facility failed to seek timely medical treatment when the Alleged Victim experienced a change of condition. The Alleged Victim was placed on alert charting and a sample was obtained to check for urinary tract infection, which is known the Alleged Victim requires increased assistance with transfers while having a urinary tract infection. On May 1, 2020, the lab advised the facility they did not receive the sample. Another sample was sent on May 3, 2020, but information was incorrect so it could not be processed by the lab. Staff were unable to obtain another sample until May 8, 2020. On May 9, 2020, staff left the Alleged Victim in his/her wheelchair alone, and he/she fell while attempting to self-transfer, was transferred to the emergency room and diagnosed with a spinal fracture. As a result of delayed medical attention, the Alleged Victim was more susceptible to falls. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP20-01039 $1000.00 fine assessed