Violation Details: 00128775-AP-100396

Date
3/8/2021
Report number
00128775-AP-100396
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to administer ordered medication
Result
Substantiated
Findings
Alleged Victim (AV) relies on the facility to administer his/her medications. On or about March 8, 2021, after missing 14 daily doses of his/her coronary medication, AV reported chest pain and dizziness and was taken to the ER due to high pulse and high blood pressure. AV’s coronary medication was discontinued on February 22, 2021, without a doctor’s order. The facility does not have a system in place to detect the inadvertent discontinuation of a resident’s medication. The facility failed to administer AV’s ordered medication putting AV at risk of serious harm, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
ALFCP21-01734 $1500.00 fine assessed