Violation Details: 00146597-AP-115862

Records Request Print
Date
6/24/2021
Report number
00146597-AP-115862
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
On or about June 24, 2021, Alleged Perpetrator 2 (AP2) neglected Alleged Victim (AV) by not toileting AV for an entire swing shift. AV had a skin tear at the time of incident and urine had soaked through to AV's geri-sleeves and steri-strips, which caused unreasonable discomfort to AV's wound due to the integrity of the bandages being compromised which were difficult to remove. AP2's actions is considered neglect of care which constitutes abuse. The facility failed to ensure AV was toileted according to AV's care plan which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP22-00915 $375.00 fine assessed