Violation Details: 00085439-AP-063781

Date
4/9/2020
Report number
00085439-AP-063781
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 for Alleged Victim (AV) which resulted in AV missing two doses of his/her behavioral health medication. When the facility became aware of the medication error, the facility failed to alert staff and monitor AV for harm or side effects. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse. The allegation that Alleged Perpetrator 2 (AP2) neglected AV was investigated and determined there was no wrongdoing by AP2.
Sanction
RCFCP20-01210 $250.00 fine assessed