- Date
- 2/9/2023
- Report number
- 00247172-AP-203246
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide peri care
- Result
- Substantiated
- Findings
- The facility failed to provide appropriate services for Alleged Victim (AV) according to his/her need for assistance with incontinence care which resulted in AV being left in his/her soiled briefs too long. Based on interviews and facility documentation, AV was found in soiled briefs on the morning of February 9, 2023 and February 14, 2023. It was determined that facility staff failed to assist AV with his/her toileting needs on the night shift on February 8, 2023 and February 13, 2023 which resulted in AV being left in soiled briefs for a long period of time causing AV unreasonable discomfort. An investigation determined that Alleged Perpetrator 2 (AP2) who worked on both of these night shifts had physical limitations that the facility was aware of but still assigned AP2 to assist with AV's toileting needs even though AP2's physical limitations would not allow for safe and proper assistance, placing AP2 and AV at potential risk of harm. The facility's failure to provide appropriate and timely incontinence care is a violation of resident rights, is considered neglect of care and constitutes abuse. AP2 allegedly neglected AV. An investigation determined no wrongdoing by AP2.
- Sanction
- RCFCP23-00678 $500.00 fine assessed