Violation Details: 00125350-AP-097505

Records Request Print
Date
2/13/2021
Report number
00125350-AP-097505
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
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
On or about February 13, 2021, the Alleged Victim (AV) was going home with family for the evening and needed all his/her medications sent with his/her family. Staff missed one of the medications for AV due to the blister pack not being replaced when one was empty. AV did not sleep as well after missing the medication, which places AV in unreasonable discomfort. The facility failed to provide a safe medication administration system, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP21-01627 $225.00 fine assessed