Violation Details: 00116249-AP-089888

Records Request Print
Date
12/7/2020
Report number
00116249-AP-089888
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: 411-054-0027(1)(f)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
The facility failed to provide a safe medication administration system to ensure the AV's medication was administered as ordered, due to staff destroying AV's medication in error. The failure resulted in behavior changes noted and risk of serious harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP21-03147 $1500.00 fine assessed