Violation Details: 00037869-AP-026601

Records Request Print
Date
6/16/2019
Report number
00037869-AP-026601
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Rule(s) Violated
External site: 411-054-0027(1)(f)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
The facility failed to provide a safe medication administration system to ensure Alleged Victim's (AV) narcotic pain medication was available to administer as ordered. An investigation determined that AV missed seven (7) doses of his/her narcotic pain medication between June 16, 2019 and June 17, 2019 due to AV's narcotic medication not being available. The facility's failure to provide a safe medication administration system caused AV unreasonable discomfort which is a violation of resident rights, is considered neglect of care and constitutes abuse. The allegation that Alleged Perpetrator 2 (AP2) failed to administer AV's medication as ordered was investigated and determined no wrongdoing by AP2.
Sanction
ALFCP20-00532 $500.00 fine assessed