Violation Details: 00133714-AP-104821

Records Request Print
Date
2/24/2021
Report number
00133714-AP-104821
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
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: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) has a specialized diet so he/she will not suffer stomach cramps and diarrhea from foods with wheat. The facility had hired agency staff to assist during a staffing shortage and AV was given items that are not on his/her list of items he/she can eat. Staff were not reading the care plans to ensure they understood the needs of residents, placing residents at risk for harm. The facility failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP21-02606 $500.00 fine assessed