Violation Details: 00109901-AP-084507

Records Request Print
Date
10/19/2020
Report number
00109901-AP-084507
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
411-054-0027(1)(f)
411-054-0028(2)
411-054-0055(1)(a) and (f)
Findings
The facility failed to provide a safe medication administration system for Alleged Victim (AV). AV has a medical condition that requires his/her blood sugar to be tested four times per day. An investigation determined that AV was tested 245 times in September 2020 and October 2020; however, 89 times the results were either missing readings or results were not accurate. 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
ALFCP21-01482 $250.00 fine assessed