Violation Details: 00177636-AP-141237

Date
1/4/2022
Report number
00177636-AP-141237
Type
Abuse: Neglect
Level
4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Findings
The Alleged Victim (AV) was not given multiple doses of their antibiotic medication between approximately January 1, 2022, and January 4, 2022, which led to AV exhibiting multiple symptoms, unnecessary discomfort, and to be transported to the hospital for treatment. AV was diagnosed with encephalopathy due to him/her not receiving ordered medications and remained hospitalized for approximately 7 days. The facility failed to provide a safe medication administration system to ensure Alleged Victim’s (AV) physician orders were followed. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP22-00710 $2500.00 fine assessed