Violation Details: 00072112-AP-052697

Records Request Print
Date
2/20/2020
Report number
00072112-AP-052697
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: 411-054-0025(1)(b)
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 a safe medication administration system for Alleged Victim's (AV) by failing to provide oversight and supervision resulting in AV's pain medication being diverted and/or administered too frequently, placing AV at risk of serious harm. The allegation that Alleged Perpetrator 2 (AP2) financially exploited AV was investigated and findings were inconclusive. An investigation determined that AP2 and Alleged Perpetrator 3 (AP3) over-administered AV's pain medication, placing AV at risk of serious harm. AP2's and AP3's actions are considered neglect of care and constitutes abuse.
Sanction
ALFCP20-00619 $188.00 fine assessed