Violation Details: 00119821-AP-101653

Records Request Print
Date
3/20/2020
Report number
00119821-AP-101653
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) and (r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
Alleged Victim (AV) relied on the facility to administer his/her medications. On or about March 20, 2020, AV’s family requested pain medication for AV, but staff failed to pop the medication and administer the pain medication to AV. The medication error was narrated in the Observation Documents three (3) days later. AV reported his/her knees hurt horribly on March 21, 2020 at 9:45 am and 3:30 pm. 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
RCFCP21-02666 $1750.00 fine assessed