Violation Details: 00313121-AP-265513

Records Request Print
Date
2/14/2024
Report number
00313121-AP-265513
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
Alleged Victim (AV) is bedbound and per his/her service plan, requires eight (8) checks per shift. On or about January 22nd, 23rd, 24th and 25th, 2024, during the night shift, staff failed to check AV as required per the service plan. On or about February 5th, 6th, 7th, and 8th, 2024, during the night shift, staff failed to check AV as required per the service plan. As a result, AV suffered discomfort and skin breakdown. The facility failed to follow the service plan, resulting in skin breakdown to AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP24-00964 $250.00 fine assessed