- Date
- 2/12/2023
- Report number
- 00250233-AP-205994
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide service
- Result
- Substantiated
- Findings
- Alleged Victim (AV) relies on the facility for all of his/her care needs. On or about February 23, 2023, AV was transferred from the hospital to the facility with a stage 3 pressure ulcer to his/her sacrum. On that same day, the facility received medical records, including a copy of AV’s hospital after visit summaries. AV's after visit summary contained a referral and instruction to follow up with Amedisys Home Health for RN wound assessment, and specific wound care instructions for AV’s stage 3 pressure injury. Between February 23rd, through March 2nd, 2023, the facility failed to coordinate Home Health wound care services and the facility failed to provide wound care to AV. As a result, AV was transported to the hospital on March 3, 2023, where it was discovered that AV was diagnosed with a MRSA infection to his/her pressure ulcer. The facility failed to provide service around AV’s known would and would care, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- RCFCP24-00097 $500.00 fine assessed