Violation Details: 00380856-AP-331404

Records Request Print
Date
1/31/2025
Report number
00380856-AP-331404
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(1)(a) and (b)
External site: 411-054-0030(e)
External site: 411-054-0036(2)(b), (c), (e), and (g)
Findings
Alleged Victim (AV) is a resident of residential care facility. AV is bed bound and requires assistance with transferring and turning. AV has history of having pressure ulcer, and has wound care treatment in place. AV is on a repositioning and turning schedule every 2 hours. During investigation it was discovered facility staff missed reposition AV 2-3 times each day. The facility staff failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-01346 $750.00 fine assessed