Violation Details: 00174507-AP-138611

Date
12/6/2021
Report number
00174507-AP-138611
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
Result
Substantiated
Findings
An unknown Alleged Perpetrator 2 (AP2) used a rice sock to treat Alleged Victim's (AV) discomfort with his/her abdominal wound. Based on interviews and facility documentations, it was determined that the rice sock treatment was not in AV's care plan/medical orders for use as relief for AV's abdominal pain. AP2 failed to provide basic care and/or services to maintain the health and safety of AV which resulted in a burn to AV's abdomen. AP2's actions are considered neglect of care which constitutes abuse. Based on interviews and facility documentation, multiple care staff knew about the rice sock and used it on an ongoing basis for relieving AV's abdominal pain. The facility failed to appropriately care plan for AV's wound care which resulted in a burn to AV's abdomen which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP22-01007 $500.00 fine assessed