Violation Details: 00176591-AP-140282

Records Request Print
Date
12/24/2021
Report number
00176591-AP-140282
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious 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: 411-054-0036(2)(g)
External site: 411-054-0040(1)(c)
Findings
The facility failed to provide appropriate services and care plan according to the Alleged Victim’s (AV) needs. The Alleged Victim (AV) had approximately twenty-three (23) documented falls between February 2, 2021, and December 8, 2021, some resulting in injury, a 25.4-pound weight loss in six (6) months, and on or about December 24, 2021 AV had a severe infection in the lungs, bed sores on AV's bottom and heels and a genital injury. The facility failed to provide appropriate services to respond to AV’s change of conditions, which caused repeated unreasonable discomfort, is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP22-01175 $1500.00 fine assessed