Violation Details: 00070149-AP-051101

Date
12/31/2019
Report number
00070149-AP-051101
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 when AV's prescribed heart antiarrhythmic medication was changed on January 10, 2020. Facility did not discover their error in not updating the change in AV's Medication Administration Record until February 6, 2020. AV's care plan states that facility is responsible for the management of AV's medication. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP20-00419 $375.00 fine assessed