- Date
- 9/30/2021
- Report number
- 00162834-AP-129151
- 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 medications. On or about September 24, 2021, AV was prescribed an antibiotic. The facility received and processed AV’s medication on September 24, 2021. AV was administered his/her first dose on September 25th, but missed two doses of this medication. The first missed dose was due to a pill becoming crushed when administered and AV was not able to swallow it, the facility did not replace this dose. For the second missed dose, facility staff punched out the pill form the bubble pack but could not find the pill for AV to take. The facility did not replace the missed doses, nor did they call AV’s health care provider, AV called his/her health care provider and requested replacement for the missed doses to take a full course of antibiotics. 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
- ALFCP22-00321 $500.00 fine assessed