Violation Details: 00165722-AP-131420

Date
10/19/2021
Report number
00165722-AP-131420
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to assist with toileting
Result
Substantiated
Findings
The Alleged Victim (AV) was found to have soaked incontinence briefs on multiple occasions. AV's wheelchair seat was also found to be wet through a pad on the wheelchair. AV was care planned to be checked multiple times per shift for incontinence care. AV went to his/her primary care physician in October 2021 and was found to have an ulcer on his/her buttock, consistent with being exposed to prolonged moisture. The facility failed to ensure toileting needs were completed for AV, leaving AV at risk for harm. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP22-00318 $250.00 fine assessed