Violation Details: 00169846-AP-134777

Records Request Print
Date
11/10/2021
Report number
00169846-AP-134777
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious 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: 411-054-0030(1)(e)(B)(E) and (G)
External site: 411-054-0036(2)(g)
Findings
On or about November 10, 2021, it was discovered that the Alleged Victim (AV) had a wound on his/her side which was bleeding. AV stated that the wound was bothering him/her, but was not sure how long the wound had been there. Staff are to shower AV on Wednesdays and Saturdays, clip his/her nails, turn or reposition AV every two hours, assist with toileting every two hours and change AV's incontinence brief as needed. Facility documentation does not indicate that staff were completing any of these tasks for AV. The facility's failure to follow the care plan caused risk of harm and unreasonable discomfort to AV. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP22-00586 $1125.00 fine assessed