Violation Details: 00198699-AP-159644

Records Request Print
Date
5/5/2022
Report number
00198699-AP-159644
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide oversight and monitoring of change of condition
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: 411-054-0040(1)(a) and (d)
Findings
The facility failed to provide oversight and monitoring of Alleged Victims (AV) change of condition. The failure resulted in AV not receiving timely medical attention which resulted in increased behaviors and unreasonable discomfort. Based on interviews and facility documentation AVs PCP ordered a Lab urinalysis on March 02, 2022. The order was not followed up on until AV was sent to the Emergency room for unrelated incident on or about May 06, 2022. AV was diagnosed with a UTI and experienced unreasonable discomfort. The facility failure is a violation or resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP22-01307 $500.00 fine assessed