Violation Details: 00226436-AP-193864

Records Request Print Provider Details
Date
9/20/2022
Report number
00226436-AP-193864
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
411-054-0027(1)(f) and (r)
411-054-0028(2)
411-054-0030(1)(e)(I)
411-054-0036(2)(g)
Findings
According to documentation the facility failed to follow the Alleged Victim’s (AV) care plan. AV’s care plan states AV is supposed to have a catheter change every four weeks. The failure resulted in AV not having a catheter change for approximately six weeks. The failure resulted in AV experiencing pain and unreasonable discomfort. The facility failed to ensure care plans were followed, which is a violation of resident’s rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP23-00442 $500.00 fine assessed