Violation Details: 00176379-AP-140065

Date
12/25/2021
Report number
00176379-AP-140065
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide service
Result
Substantiated
Findings
The Alleged Victim (AV) has a history of constipation and the facility was to monitor his/her bowel movements and report to hospice. On or about December 25, 2021, AV was having trouble with a bowel movement and was sent to the hospital for treatment. AV was on hospice and was not to be sent to the hospital but was supposed to advise hospice. The facility staff and administrator did not realize AV was on hospice. AV's bowel movements were not consistently logged in the bowel health log or the shift report, which placed AV at risk for serious harm. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP22-00082 $500.00 fine assessed