Violation Details: 00344238-AP-295155

Records Request Print
Date
7/23/2024
Report number
00344238-AP-295155
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to properly plan care
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)
External site: 411-054-0040(1)(a) and (b)
Findings
Based on witness statements, investigator observations, and documentary evidence collected during Adult Protective Services (APS) Investigation #00344238, the APS Investigator determined that on or about July 23, 2024, the facility failed to provide appropriate services in accordance to the Alleged Victim’s (AV) care needs, specifically related to wound care following AV's return to the facility with leg wraps. As a result, AV’s leg dressings were not changed between July 9, 2024, and July 22, 2024, leading to a worsening of AV’s condition, causing further unreasonable discomfort. The facility's failure to provide timely and appropriate wound care is a violation of resident rights, is considered neglect of care and constitutes abuse. Alleged Perpetrator 2 (AP2) allegedly neglected AV. An investigation determined no abuse occurred by AP2.
Sanction
RCFCP25-01243 $500.00 fine assessed