Violation Details: 00057988-AP-041059

Records Request Print
Date
11/13/2019
Report number
00057988-AP-041059
Type
Abuse: Neglect
Level
4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
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
On or about November 13, 2019, Alleged Victim (AV) was found unresponsive in his/her room and was taken to the hospital for treatment. AV tested positive for opiates and was diagnosed with respiratory failure most likely due to narcotic ingestion. An investigation determined that AV was not prescribed narcotic medication. The facility failed to provide a safe medication administration system for AV which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP20-00284 $2500.00 fine assessed