Violation Details: 00145479-AP-115155

Records Request Print
Date
6/16/2021
Report number
00145479-AP-115155
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: 411-054-0027(1)(f)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
The Alleged Victim (AV) relies on the facility for h/h care. AV is prescribed an anticoagulant medication. AV was given the wrong dose of anticoagulant medication on or about June 16, 2021, and missed a dose on or about June 17, 2021 due to the facility not having any of AV’s anticoagulant medication on site. AV was placed at a greater risk of a medical event by receiving the incorrect dose and then missing a dose of his/her medication. The facility neglected AV by failing to provide a safe medication administration system which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP21-03331 $500.00 fine assessed