- Date
- 4/26/2025
- Report number
- 00398106-AP-348759
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- The facility failed to provide appropriate services according to the Alleged Victim’s (AV) care needs and wound care. Based on facility documentation and interviews, in March or April 2025, AV experienced a change of condition which left AV bed bound. On April 25, 2025, AV was found to have an open wound on his/her coccyx area. The investigation determined that the facility failed to put a Temporary Service Plan in place for AV's change of condition until after wound was found not when AV was documented as being bed bound. The facility's failure to provide basic care and services necessary to maintain the health and safety of AV, resulted in AV’s condition worsening causing further unreasonable discomfort, which is a moderate violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP25-00968 $1125.00 fine assessed