- Date
- 5/4/2022
- Report number
- 00198435-AP-159397
- Type
- Abuse: Neglect
- Level
- 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
- Allegation
- Failed to provide appropriate skin care
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) was consistently combative and resistant to care. AV was prescribed medication to assist with anxiety and agitation, which may have allowed staff to assist AV with his/her care, however, AV was only given the medication on two occasions. On or about May 4, 2022, staff noticed a large amount of blood in AV's bed and sent AV out to the hospital. Hospital staff noted that AV had multiple stage 2 pressure ulcers, extensive skin breakdown, infection, sepsis, dehydration and pain, which appears to be related to incontinence with prolonged time without cleaning. The facility's failure to provide proper care is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP22-01312 $1500.00 fine assessed