Violation Details: 00159333-AP-129845

Records Request Print
Date
5/4/2021
Report number
00159333-AP-129845
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) and (r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
Alleged Victim (AV) relies on the facility to administer his/her medications. AV is prescribed PRN (as needed) dicyclomine/Bentyl for bowel issues and diphenhydramine/Benadryll for itching. On or about May 30th and 31st, 2021, AV was administered dicyclomine for itching instead of diphenhydramine. The med error cause AV to have uncontrollable bowel movements which cause AV discomfort/distress. The facility failed to provide a safe medication administration system for AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
ALFCP22-00701 $2500.00 fine assessed