Violation Details: 00173066-AP-137362

Records Request Print
Date
6/19/2021
Report number
00173066-AP-137362
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide service
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)(G)
Findings
On or about June 19, 2021, the Alleged Victim (AV) returned from the hospital after a procedure with a Foley catheter in place. AV's documentation from the hospital was delivered with AV when he/she returned from the hospital. Staff failed to make notations in AV's record that AV returned with a catheter and most staff were unaware that AV had a catheter. A day after AV returned from the hospital, AV's child visited him/her and noticed the catheter was removed. AV had removed the catheter and AV's physician determined it could be left out. AV was placed at risk for harm of facility staff not knowing AV had a catheter that needed to be checked. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP22-00589 $250.00 fine assessed