- Date
- 11/4/2022
- Report number
- 00232092-AP-189906
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to provide service
- Result
- Substantiated
- Findings
- The facility failed to provide appropriate services and care plan according to the Alleged Victim’s (AV) needs. The Alleged Victim (AV) had known behaviors as well as frequent periods of incontinence and there are no behavior plans in place or other guidance to staff other than to leave AV in his/her soiled garments. AV’s care plan indicates he/she is independent with toileting, despite numerous documented reports of AV walking around the facility in soiled clothes, sometimes for multiple days in a row. Documents reveal AV has been left in soiled briefs/clothes numerous times, staff has placed AV in the shower with his/her pants on where feces was running out of the pants, AV has a yeast infection from being left in soiled briefs, and AV has a pressure sore on his/her coccyx that is approximately 1 in in diameter. On or about November 4, 2022, AV was left in clothes soiled in urine and feces for approximately 5 hours, due to AV being combative. The facility failed to provide appropriate services to respond to AV’s change of conditions, which caused repeated unreasonable discomfort and loss of dignity, is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP23-00243 $1350.00 fine assessed