Violation Details: 00273804-AP-228692

Records Request Print
Date
7/17/2023
Report number
00273804-AP-228692
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(10(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
According to the documentation, the facility failed to properly care plan for the Alleged Victim’s (AV) catheter tube becoming twisted/knotted causing urine retention. Before July 15, 2023, there was an incident where the catheter tubing for the AV was found twisted/knotted causing urine retention resulting in pain and unreasonable discomfort. On or about July 15, 2023, the AV was found with their catheter tubing twisted/knotted causing urine retention resulting in pain and unreasonable discomfort. The failure to properly care plan appropriate timely interventions to prevent catheter tubing to become twisted/knotted caused pain and unreasonable discomfort, which is a violation of resident rights is considered neglect of care and constitutes abuse.
Sanction
RCFCP24-01064 $500.00 fine assessed