- Date
- 11/28/2019
- Report number
- 00060437-AP-043076
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- The facility failed to provide a safe medication administration system to ensure Alleged Victim's (AV) physician orders were followed. An investigation determined that physician orders for AV's laxative medication were stopped on May 1, 2019. However, AV received the discontinued laxative medication November 15, 2019 through November 16, 2019 and November 18, 2019 through November 28, 2019 when AV's laxative medication was added back to AV's November 2019 MAR in error. The facility's failure to provide a safe medication administration system resulted in AV receiving discontinued medication which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- ALFCP20-00351 $500.00 fine assessed