Violation Details: 00160934-AP-127640

Records Request Print
Date
9/18/2021
Report number
00160934-AP-127640
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide oversight and monitoring of change of condition
Result
Substantiated
Rule(s) Violated
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
External site: 411-054-0040(1)(a) and (d)
Findings
The facility failed to assess and intervene when the Alleged Victim (AV) experienced a change of condition. On or about September 10, 2021, AV began to refuse to get out of bed and exhibited an increase in behaviors. On or about September 18, 2021, AV continued to refuse care and was more combative with staff which resulted in staff refusing to assist AV with his/her Activities of Daily Living (ADL) because of AV's behaviors and safety issues. AV was later diagnosed with a Urinary Tract Infection (UTI). The facility's failure to provide oversight and monitoring of AV's change of condition caused AV unreasonable discomfort, due to staff failing to get a timely urine sample as ordered, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP24-01081 $500.00 fine assessed