Violation Details: 00111407-AP-085889

Date
11/9/2020
Report number
00111407-AP-085889
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Findings
Alleged Victim (AV) relies on the facility to administer his/her medications. On or about November 9, 2020, Alleged Perpetrator 2 (AP2) administered AV another residents medications. AV was transferred to the hospital and diagnosed with encephalopathy due to accidental medication administration. AV reported feeling scared about the incident. AP2 and the facility failed to provide a safe medication administration system, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
ALFCP21-01386 $375.00 fine assessed