Violation Details: 00386162-AP-336658

Records Request Print
Date
2/27/2025
Report number
00386162-AP-336658
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to assist with toileting
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(a), (g), and (s)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(G)
External site: 411-054-0036(2)(g)
Findings
The facility failed to provide appropriate services according to the Alleged Victim’s (AV) care needs and wound care. On or about January 20, 2025, AV was observed with extensive encrusted feces in AV's peri area, including to AV's peri wound, that could not be washed off after multiple attempts, so AV's pubic hair was cut for a sterile catheter change. On February 27, 2025, AV was observed with dried feces on his/her bottom, thighs, and some in the catheter area. Based on facility documentation and interviews, AV is care planned for assistance with catheter/peri care once every shift and after every bowel movement. By failing to ensure that AV was properly cleansed after toileting, resulted in AV suffered a serious loss of personal dignity and unreasonable discomfort, which is a violation of resident rights, is considered neglect of care, which constitutes abuse.
Sanction
RCFCP25-00792 $500.00 fine assessed