- Date
- 5/6/2020
- Report number
- 00084527-AP-063181
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- Alleged Victim (AV) requires the facility to administer his/her medication and is care planned for a complex medication management. On or about May 6th, May 7th, May 12th and May 13, 2020, it was discovered AV did not receive his/her 6am medications due to the medications still being in the bubble packs. Through the investigative process it was determined that several different staff had a different understanding as to how the bubble packs correlate with the date of administration. The facility did not have a process in place to review the medication administration system to determine if medications were being administered appropriately putting AV at risk for serious harm. The facility failed to provide a safe medication administration system, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- ALFCP20-00657 $375.00 fine assessed