Violation Details: 00104367-AP-079599

Records Request Print
Date
9/26/2020
Report number
00104367-AP-079599
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
411-054-0025(1)(a) and (b)
411-054-0027(1)(f) and (r)
411-054-0028(2)
411-054-0055(1)(a) and (f)
Findings
The facility failed to provide a safe medication administration system to ensure the Alleged Victim (AV) received the correct amount of medication as prescribed. AV was given 1 mg of pain medication rather than .1 mg of pain medication on two occasions, placing AV at risk for harm. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP21-01397 $338.00 fine assessed