Violation Details: 00190442-AP-152167

Date
3/18/2022
Report number
00190442-AP-152167
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Findings
On or about March 18, 2022, the Alleged Victim (AV) was being transferred by facility staff from a recliner to his/her wheelchair. AV is care planned to be a two person transfer, however, staff transferred AV alone. During the transfer, AV received a skin tear on his/her leg. AV was transferred to the hospital where he/she received wound care and returned to the facility. The facility's failure to follow the care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP23-00163 $375.00 fine assessed