Violation Details: 00227388-AP-185792

Records Request Print Provider Details
Date
10/19/2022
Report number
00227388-AP-185792
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide service
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b)
411-054-0027(1)(f) and (r)
411-054-0028(2)
411-054-0036(2)(g)
411-054-0040(1)(c)
Findings
The Alleged Victim (AV) relies on the facility for his/her care. The facility failed to provide appropriate services and care plan according to the AV’s needs and change of condition. On or about October 4, 2022, the AV was hospitalized for a UTI and was discovered to have a pressure ulcer on his/her bottom that resembled the shape of a toilet seat or bed pan. At hospital discharge AV was scheduled multiple wound clinic appointments that the facility failed to take him/her to, therefore AV’s wound was not attended to for approximately 2 weeks. The facility failed to provide appropriate services to respond to AV’s change of conditions, which caused repeated unreasonable discomfort, is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP23-00205 $450.00 fine assessed