Violation Details: 00155406-AP-131594

Records Request Print
Date
7/28/2021
Report number
00155406-AP-131594
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide oversight and monitoring of change of condition
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: 411-054-0040(2)(a)
Findings
Alleged Victim (AV) relies on the facility for his/her care. AV was care planned for ongoing monitoring and follow-up on skin issues. According to witnesses and documentation, the facility, and Alleged Perpetrator 2 (AP2) failed to adequately monitor, assess, and document follow-up on skin issues and Alleged Perpetrator 3 (AP3) was notified of the concerns not being addressed and failed to take any action, which caused AV's condition to worsen. AP2 and AP3's actions are considered neglect and constitutes abuse. The facility’s failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP22-00897 $500.00 fine assessed