Violation Details: 00117447-AP-090916

Records Request Print
Date
12/20/2020
Report number
00117447-AP-090916
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: 411-054-0040(1)(b) and (c)
External site: 411-054-0045(1)(a)
Findings
On or about December 20, 2020, the Alleged Victim (AV) experienced a fall which resulted in a fracture. AV showed increased signs of injury including swelling, discoloration, uncontrolled pain and an inability to bear weight. Through the investigative process it was determined that some communication with family and a medical provider occurred however it was sporadic and long periods of time between communication. Despite AV's increased signs of a injury, AV was not sent to the emergency room until December 22, 2020. The facility failed to respond to AV's change of condition appropriately resulting in AV experiencing uncontrolled pain for an extended period of time, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP21-02331 $500.00 fine assessed