Violation Details: 00135158-AP-106107

Date
4/16/2021
Report number
00135158-AP-106107
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 April 16, 2021, the Alleged Victim (AV) was given medication of another resident by Alleged Perpetrator #2 (AP2). AP2 was working a side of the building he/she was not accustomed to, and had asked another staff who a particular resident was but approached AV instead and administered the medication. Other staff advised AP2 that was the incorrect resident and emergency services was called to attend to AV. AV was taken to the hospital for evaluation. An investigation determined no AP2 wrongdoing or abuse occurred. 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
RCFCP21-02447 $375.00 fine assessed