Violation Details: 00272097-AP-226891

Records Request Print
Date
5/2/2023
Report number
00272097-AP-226891
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(a)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) was care planned to be re-positioned multiple times per day, due to AV having a pressure sore on his/her knee, which developed from having his/her knee against the wall while in bed. AV's knee was bloody and blood had dried on the wall, sticking AV's knee to the wall. The facility failed to follow AV"s care plan to turn AV multiple times per day, to ensure AV's knee was not against the wall, causing worsening of the pressure sore on his/her knee. The facility's' failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP23-01266 $1500.00 fine assessed