Violation Details: 00132561-AP-103809

Date
3/31/2021
Report number
00132561-AP-103809
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Findings
On or about March 31, 2021, the Alleged Victim (AV) was given the medication that belonged to another resident. AV complained of nausea, vomiting and diarrhea and was transported to the hospital and treated for medication poisoning. Alleged Perpetrator #2 (AP2) had given AV the incorrect medication, however, AP2 had not had sufficient training to complete medication administration on his/her own at the time of the incident, therefore, the investigation determined no AP2 wrongdoing or abuse occurred. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP21-01695 $338.00 fine assessed