Violation Details: 00123820-AP-096257

Records Request Print
Date
2/5/2021
Report number
00123820-AP-096257
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide service
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(2)(b)
External site: 411-054-0055(1)(a) and (f)
External site: 411-054-0070(1)
Findings
The facility failed to ensure supervision and staff support regarding care and services as it related to the Alleged Victim (AV) and his/her needs regarding skin breakdown and care of pressure sores. AV was to have a special air bed ordered and put in place. It was ordered, however, it was never put in place until weeks later when it was found by staff in the corner of AV's room. AV's wounds were worsened by not being turned timely and by not having the air bed in place weeks earlier as requested by AV's physician. The facility failed to have enough staff in place to meet the needs of AV. The facility's failures are a violation of resident rights, are considered neglect of care and constitute abuse.
Sanction
RCFCP21-02137 $1500.00 fine assessed