Violation Details: 00146433-AP-115790

Records Request Print
Date
6/23/2021
Report number
00146433-AP-115790
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: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(r)
External site: 411-054-0028
External site: 411-054-0055(1)(a) and (f)
Findings
On or about June 23, 2021, the Alleged Victim (AV) was given pain medication in excess of the ordered amount, and staff were to contact hospice prior to giving AV any of this medication, and staff did not contact hospice prior. Staff gave AV 1 ml of this medication rather than the .25 ml that is prescribed, placing AV at risk for harm. 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
ALFCP22-01108 $169.00 fine assessed