Violation Details: 00170951-AP-135677

Records Request Print
Date
11/18/2021
Report number
00170951-AP-135677
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)(r)
External site: 411-054-0028(1)
External site: 411-054-0055(1)(a) and (f)
Findings
The Alleged Victim (AV) has orders for his/her blood sugar checked every morning. AV had at least three instances where his/her blood sugar was not checked by staff, placing AV at risk for harm. On or about November 8 and 9, 2021, AV missed 3 doses of ordered medication, placing AV at risk for harm. The facility's failure to provide a safe medication administration system is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP22-00147 $500.00 fine assessed