Violation Details: 00115567-AP-089357

Records Request Print
Date
12/2/2020
Report number
00115567-AP-089357
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to intervene when resident's condition changed
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(F)
External site: 411-054-0036(2)(g)
External site: 411-054-0070(1)(b)
Findings
The facility failed to intervene when the Alleged Victim (AV) experienced a change of condition. AV was unresponsive during a med pass. Staff did not have enough training to understand that AV was unresponsive and not sleeping and did not notify anyone of AV's condition. AV was unresponsive for some time before another staff determined that AV needed medical intervention. The facilities failures are a violation of resident rights, are considered neglect of care and constitute abuse.
Sanction
RCFCP21-01872 $1500.00 fine assessed