Violation Details: 00106777-AP-081672

Records Request Print
Date
10/10/2020
Report number
00106777-AP-081672
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious 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) and (r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
Alleged Perpetrator 2 (AP2) failed to administer medications to Alleged Victim (AV) as ordered which resulted in actual physical harm due to medication error causing changes in AV's pulse and respirations. AP2's action is considered neglect of care which constitutes abuse. The facility failed to provide a safe medication administration system to AV which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP21-02269 $375.00 fine assessed