Violation Details: 00291513-AP-245571

Records Request Print
Date
10/13/2023
Report number
00291513-AP-245571
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)(g) and (s)
External site: 411-054-0028(2)(a) and (b)
External site: 411-054-0036(2)(b)(c) and (g)
External site: 411-054-0055(1)(a)(f)
External site: 411-054-0055(3)(a) and (b)
Findings
Alleged Victim (AV) relies on the facility for his/her care. AV has bed sores on h/h legs, arms, and bottom. AV has doctor orders for dressing change every Tuesday and Friday. AV's left elbow dressing was not changed for 7 days from approximately October 10th - 17th of 2023. AV's left lateral calf dressing was not changed for 7 days from approximately October 10th - 17th of 2023. AV's left hip, left elbow, and lateral left calf dressings were not changed as ordered on or about October 20th, 24th, and 27th of 2023. AV's wounds are black and deep. AV has missed dressing changes for h/h wounds. The facility failed to follow the care plan and doctors’ orders, which is a violation of resident’s rights is neglect of care and constitutes abuse.
Sanction
RCFCP24-00769 $1350.00 fine assessed