- Date
- 11/6/2019
- Report number
- 00057036-AP-040268
- 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) is care planned for staff assistance with medication administration. On or about November 6, 2019, it was discovered that AV's omeprazole was in his/her gabapentin bottle and gabapentin was in his/her omeprazole bottle. AV was given the incorrect medications. An unknown person put AV's medications into the wrong bottles. The facility and an unknown person failed to provide a safe medication administration system putting AV at risk for serious harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- ALFCP20-00294 $250.00 fine assessed