Violation Details: 00164666-AP-130603

Date
10/12/2021
Report number
00164666-AP-130603
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Findings
On or about October 12, 2021, the Alleged Perpetrator #2 (AP2) was administering insulin to the Alleged Victim (AV). AV receives two types of insulin at different dosages, AP2 gave AV the incorrect amount of insulin, causing AV's blood sugar to drop below acceptable levels. AV was sent to the hospital for monitoring. AP2's actions placed AV at risk for harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility's failure to provide s safe medication administration system is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP21-03591 $188.00 fine assessed