Violation Details: 00162009-AP-128451

Records Request Print
Date
9/27/2021
Report number
00162009-AP-128451
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
The facility failed to provide a safe medication administration system to ensure AV’s medication was administered as ordered and documented if pain medication was not effective. The failure resulted in AV experiencing repeated unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP23-00349 $500.00 fine assessed