- Date
- 6/20/2020
- Report number
- 00089225-AP-066977
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious 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 residents received correct dosages in the correct manner and their own medications. The Alleged Victim received medication that belonged to Witness #1, causing his/her blood pressure to lower and he/she was sent to the emergency room for evaluation. The facility had allowed Witness #3 to crush medication without a crush order and to have other staff, other than him/herself administer medication to residents. Had W3 had proper training, he/she would have known not to crush meds without a med order and not to let anyone else give medication to a resident. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP20-01264 $375.00 fine assessed