Violation Details: 00110967-AP-085510

Date
11/5/2020
Report number
00110967-AP-085510
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide appropriate skin care
Result
Substantiated
Findings
Alleged Victim (AV) has a known risk of skin breakdown and has fragile skin. On or about November 5, 2020, AV was observed to have skin breakdown on his/her buttocks, near his/her coccyx. It was noted that staff on multiple occasions were instructed not to use two incontinent products as this would increase the moisture when AV is wet and allow bacteria to grow. There is no documentation that AV's skin was being monitored by the facility during October and November 2020. The facility failed to provide appropriate skin care, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP21-01941 $500.00 fine assessed