Residential Care Facility for the Elderly (RCFE) Practice Test

Which of the following conditions is considered a prohibited condition in a residential care facility?

1. Minor abrasions

2. Stage 1 pressure sores

3. Stage 3 pressure sores

4. Stage 2 pressure sores

The correct answer is: Stage 3 pressure sores

Stage 3 pressure sores are considered a prohibited condition in a residential care facility because they indicate a significant level of skin breakdown that involves full thickness loss of skin and damage to the subcutaneous tissue. Such wounds require a higher level of medical care and specialized treatment that exceeds what can be adequately provided in a residential care environment. Facilities are responsible for ensuring the safety and well-being of their residents, and allowing individuals with Stage 3 pressure sores could put them at risk for further complications, infections, and hospitalization. In contrast, minor abrasions and less severe pressure sores (such as Stage 1 and Stage 2) can typically be managed in a residential care setting under the right conditions, provided that the residents do not require complex wound care or monitoring that cannot be accomplished within that facility.