Violation Details: 00338081-AP-288964

Records Request Print
Date
6/11/2024
Report number
00338081-AP-288964
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: 411-054-0025(1)(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
The Alleged Victim (AV) had a doctors order submitted in February 2024 for a soft diet. On March 21, 2024, there was a modification to change this to mechanical soft diet, the consistency of liquids. Staff were not aware of the change to AV's requirements and did not provide the special diet until June 11, 2024 when it was discovered. The facility failed to update AV's care plan and follow the care plan, placing AV at risk for harm. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP24-01083 $250.00 fine assessed