- Date
- 1/13/2022
- Report number
- 00179327-AP-142557
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to intervene when resident's condition changed
- Result
- Substantiated
- Findings
- On or about January 12, 2022, facility staff notified the Alleged Perpetrator #2 (AP2) regarding the Alleged Victim's (AV) status of wounds on his/her legs. AV had open, weeping wounds on his/her legs, under tubi-grip socks. AP2 looked at AV's legs and ordered staff to cut the tubi-socks off. Staff did not feel comfortable cutting off the socks and told AP2 as much. AP2 did not remove the tubi-socks and did not check back in with staff to ensure the task was completed before leaving for facility for the day. AP2's actions caused AV undue pain and suffering and placed AV at risk for serious harm. AV was sent to the hospital on January 13, 2022 at 6:30 am and diagnosed with deep tissue pressure injury with superimposed cellulitis and trauma half way up his/her legs. AP2's failure to intervene when AV's condition changed is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility's failure to intervene when the residents condition changed is a violation of resident rights, is considered neglect of care an constitutes abuse.
- Sanction
- RCFCP22-00591 $375.00 fine assessed