Violation Details: 00050317-AP-034982

Date
9/9/2019
Report number
00050317-AP-034982
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Findings
Alleged Victim (AV) requires medication management and administration by the facility. On or about September 9, 2019, Alleged Perpetrator 2 (AP2) administered one of AV's narcotic medications to Witness 1. At the time of the incident AV did not have an active order for the medication. The facility did not conduct regular audits to ensure proper oversight of the medication system which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP20-00003 $375.00 fine assessed