Violation Details: 00269538-AP-224404

Date
6/11/2023
Report number
00269538-AP-224404
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Findings
The facility failed to provide appropriate services according to the Alleged Victim’s (AV) care needs as noted in his/her care plan. Based on facility documentation and interviews, the facility failed to respond timely to AV's call light when AV reached out for assistance with his/her Activities of Daily Living. AV's call light log shows an activation on June 11, 2023 at 4:43am with 41-minute response time causing AV unreasonable discomfort due to the facility's lack of timely response. Based on facility documentation and interviews, AV is temperature sensitive and gets cold easily. AV experiences discomfort when AV does not have adequate bedding to keep warm. On June 18, 2023, AV was observed to be without appropriate bedding to keep warm which caused AV unreasonable discomfort. The facility's failure to follow AV's care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP23-01324 $500.00 fine assessed