- Date
- 4/26/2021
- Report number
- 00136424-AP-107132
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- Alleged Victim (AV) relies on the facility to administer his/her medication. Between April 9, through April 14, 2021, AV was shorted one pill on three (3) separate occasions and did not receive a medication (anti-anxiety/sedative) as it was mis-written as a PRN (as needed) instead of PM (nightly). Between April 14, through April 30, 2021, more medication errors occurred, which included more errors in documentation where the facility initialed that a medication (antibiotic) was given on days when the medication was not available in the facility. The facility failed to provide a safe medication administration system, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- ALFCP22-00469 $500.00 fine assessed