Violation Details: 00156202-AP-123797

Records Request Print
Date
8/18/2021
Report number
00156202-AP-123797
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)
External site: 411-054-0070(1)
Findings
The Alleged Victim (AV) was care planned to be a two person transfer at all times due to fragile skin and for safety. AV had multiple skin tears and an open wound on his/her buttocks from not being rotated. The facility failed to follow the care plan and to provide enough staff to meet the scheduled and unscheduled care needs of the residents. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP21-03631 $250.00 fine assessed