Violation Details: 00099621-AP-075613

Date
8/25/2020
Report number
00099621-AP-075613
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide medical treatment as ordered
Result
Substantiated
Findings
On or about August 13, 2020, Alleged Victim (AV) toes were injured due to the facility not putting foot supports on AV's wheelchair. The facility did not add the food supports to AV's wheelchair until August 28, 2020. On or about August 13, 2020, the facility received orders to perform wound care daily. A review of wound care documentation determined wound care was not documented as provided on August 18th, 19th, 21st, 22nd, and 23rd by the facility or hospice. Multiple facility staff members reported that they were not supposed to complete wound care. The facility failed to provide treatment as ordered putting AV at risk for serious harm, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP21-01936 $250.00 fine assessed