Violation Details: 00416408-AP-367648

Date
7/28/2025
Report number
00416408-AP-367648
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide service
Result
Substantiated
Findings
Alleged Victim’s (AV’s) care plan states AV required standby assistance with dressing and AV is a 1-person assist for bathing. On or about May 30, 2025, AV's POA informed the facility he/she didn't want to continue showering AV. Facility made no changes to AV's care plan or TSP in regard to AV's POA no longer being a good intervention to assist in showering AV. On or about June 15, 2025, at around 12:17 a.m., AV developed a blister to h/h right lower leg. The facility was not taking care of AV's leg issues which had become worse by developing a blister which popped. The facility was not changing AV's bandage, it was being left soiled, and AV had to be transported the hospital for care. The facility failed to provide wound care to AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP25-01310 $375.00 fine assessed