Violation Details: 00130824-AP-102288

Records Request Print

Date: 3/10/2021
Report number: 00130824-AP-102288
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to intervene when resident's condition changed
Result: Substantiated
Rule(s) Violated: External site: 411-054-0010(1)(b)(c)
External site: 411-054-0028(2)
Findings: Alleged Victim (AV) was care planned to have a one to one feeding. In October 2020, AV weighed 225 pounds, in March 2021, AV weighed 188.2 pounds. AV had an 16% decrease in weight over a period of five months. On or about March 10, 2021, AV was hospitalized after two (2) days of not eating and drinking. AV was found to be very dehydrated and his/her kidneys were failing. The facility failed to address AV’s change of condition and implement interventions, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP21-03452 $250.00 fine assessed