Violation Details: 00022046-AP-015713

Date
2/15/2019
Report number
00022046-AP-015713
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to administer medication as ordered
Result
Substantiated
Findings
The facility failed to provide a safe medication system to ensure physician orders were followed for the Alleged Victim's medication. AV was to get a smaller dosage of the medication during the day and a larger dosage in the evening, however, these two dosages were switched in the AV's medication slot, which is maintained by facility staff. AV received incorrect dosages of the medication for approximately 18 days, which caused increased dizziness, placing AV at a risk for harm. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP20-00543 $169.00 fine assessed