Violation Details: 00126124-AP-098214

Records Request Print
Date
2/17/2021
Report number
00126124-AP-098214
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)(f)
External site: 411-054-0055(1)(a) and (f)
External site: 411-054-0070(1)
Findings
The facility and AP2 failed to provide a safe medication administration system to ensure the AV received his/her medication as ordered according to his/her pain. The failure resulted in AV experiencing unreasonable discomfort before s/he passed away, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP21-02459 $500.00 fine assessed