Violation Details: 00174474-AP-138534

Date
12/12/2021
Report number
00174474-AP-138534
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Findings
The facility ran out of the Alleged Victim’s (AV) metabolic medication on or around December 11, 2021, which led to AV exhibiting multiple symptoms, causing him/her unnecessary discomfort, and to be transported to the hospital for treatment. The facility failed to provide a safe medication administration system to ensure Alleged Victim’s (AV) physician orders were followed and medications were reordered timely. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP22-00706 $1125.00 fine assessed