- Date
- 5/12/2021
- Report number
- 00143250-AP-112984
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to obtain medical order
- Result
- Substantiated
- Findings
- The facility failed to ensure the Alleged Victim's (AV) care needs were being met due to a lack of service planning for catheter care, monitoring, or follow up for approximately twenty days, after the Alleged Perpetrator 2 placed a Foley catheter in AV without a doctor's order. AV’s condition worsened and was transferred to the hospital for treatment. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse.