Violation Details: 00187841-AP-160434

Records Request Print
Date
3/6/2022
Report number
00187841-AP-160434
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
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)
Findings
The Alleged Victim (AV) returned from the hospital with redness on his/her coccyx. Staff were instructed to check AV every two hours to reposition and ensure his/her brief was dry. Staff did not check AV's brief, leaving his/her in a soiled brief multiple times. AV's redness continued to worsen until he/she had sores. Hospice began treating the sores with medicated cream. The facility's failure to follow the care plan lead to undue pain and suffering for AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP22-00890 $500.00 fine assessed