Violation Details: 00072052-AP-052641

Records Request Print
Date
2/20/2020
Report number
00072052-AP-052641
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
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
The facility failed to provide Alleged Victim (AV) with a safe medication administration system. On or about, February 11, 2020, AV's physician prescribed AV with a new blood pressure medication. An investigation determined that the facility did not update AV's Medication Administration Record (MAR) correctly, causing AV to go without his/her blood pressure medication for a total of nine dosages before the facility corrected the error. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP20-00442 $500.00 fine assessed