- Date
- 12/5/2021
- Report number
- 00173760-AP-137941
- Type
- Abuse: Neglect
- Level
- 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
- Allegation
- Failed to provide service
- Result
- Substantiated
- Findings
- The facility failed to provide appropriate services according to the Alleged Victim’s (AV) ostomy and catheter care needs. On or about December 5, 2021, AV was feeling ill, started vomiting, and was sent to the hospital in which AV was admitted to the ICU and diagnosed with septic shock due to having a severe UTI. Based on facility documentation and interviews, AV was not receiving ostomy and catheter care every shift or as necessary prior to incident. The facility's failure resulted in AV’s condition worsening, requiring hospitalization for treatment, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP24-00044 $1500.00 fine assessed