- Date
- 12/4/2023
- Report number
- 00303363-AP-256368
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide service
- Result
- Substantiated
- Findings
- The facility failed to provide appropriate services according to the Alleged Victim’s (AV) current care needs and the facility failed to ensure facility staff were properly trained to met AV's care needs. On or about December 4, 2023, AV was found in a soiled brief, sitting in his/her recliner. Based on facility documentation, AV refused assistance with his/her Activities of Daily Living the evening prior to incident. AV was left in his/her recliner throughout the night and AV was not toileted according to his/her care plan. The facility did not instruct staff how to respond to AV's refusal of care. According to AV's care plan, AV needs to be changed and repositioned due to AV having an open wound that was increasing in size. The facility's failure resulted in unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse. Alleged Perpetrator 2 (AP2) allegedly neglected AV. An investigation determined abuse did not occur by AP2.
- Sanction
- RCFCP24-00376 $375.00 fine assessed