Violation Details: 00122702-AP-095332

Records Request Print
Date
1/28/2021
Report number
00122702-AP-095332
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) relies on the facility to administer his/her medications. From January 18th through January 28th, 2021, AV experienced high blood pressure on nine (9) occasions and had not been offered his/her as needed blood pressure medication. AV was hospitalized on January 29, 2021 due to high blood pressure. Multiple irregularities are noted in AV’s Medication Administration Record (MAR), e.g. Medications listed as refused when the facility was out, medications listed as given when facility records state they were out. 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
ALFCP21-03139 $1125.00 fine assessed