Violation Details: 00191081-AP-152728

Records Request Print
Date
3/24/2022
Report number
00191081-AP-152728
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide oversight and monitoring of change of condition
Result
Substantiated
Rule(s) Violated
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0040(1)(d)
Findings
Alleged Victim (AV) relies on the facility for his/her care. AV is at increased risk for skin breakdown and other chronic skin conditions which require daily monitoring and treatment. Between January 10th through March 6th, 2022, AV was on alert monitoring for open wound, but the alerts were closed on March 6, 2022. On or about March 24, 2022, AV was taken to the hospital where he/she was found to have state 2 wound on his/her sacral region, inflamed skin in his/her groin area, and swollen/inflamed cellulitis on his/her right leg. The facility failed to provide oversight and monitoring of change of condition, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP22-01334 $500.00 fine assessed