Violation Details: 00396000-AP-346704

Date
4/17/2025
Report number
00396000-AP-346704
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide service
Result
Substantiated
Findings
The Alleged Victim (AV) relies on the facility for care. According to an investigation, on or about April 11, 2025, facility staff noticed a skin injury on AVs shoulder. Facility staff documented in the progress notes about the skin injury but there was no other follow-up documented. When an outside provider was at the facility approximately 6 days later, on April 17, 2025, the skin area was enflamed, was painful to the touch or with movement, and was noted to contain a large pocket of pus causing repeated unreasonable discomfort. The facility failed to provide appropriate services according to Alleged Victim’s needs, to include implementation of services, change of condition and monitoring and provider coordination, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-01028 $1500.00 fine assessed