- Date
- 2/14/2024
- Report number
- 00313596-AP-265966
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide service
- Result
- Substantiated
- Findings
- Alleged Victim’s (AV’s) care plan states that staff are responsible for AV’s catheter care, monitoring and replacement. AV’s catheter requires exchanging every 4-6 weeks, AV’s last catheter exchange occurred on December 15, 2023. AV had a cancelled appointment on January 16, 2024, due to inclement weather, however, staff did not reschedule AV’s cancelled appointment. On or about February 14, 2024, staff contacted AV’s medical provider stating AV’s catheter had not been drained since February 13, 2024. Staff were advised to bring AV for a clinic appointment that day or to take AV to the ER. On or about February 16, 2024, staff called AV’s medical provider back saying AV’s catheter was still not draining properly. Staff were urged to send AV to the hospital, and he/she was transported to the ER. As a result of the catheter not draining AV experienced bladder pain. The facility failed to provide service around AV’s catheter care, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- RCFCP24-00814 $225.00 fine assessed