Violation Details: 00179550-AP-142701

Date
1/5/2022
Report number
00179550-AP-142701
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 January 5, 2022, the Alleged Victim (AV) was prescribed medication to prevent strokes. AV's medication was placed in the MAR, however, the medication was not administered by Alleged Perpetrator #2 (AP2) from January 5, 2022 to January 12, 2022. AV had received his/her AM doses of this medication, it was only the PM doses that were missed. AV did not have any adverse reactions, however, AV was placed at risk for harm by missing prescribed medications. AP2 was not properly trained in medication administration until after this incident. The allegation of abuse against AP2 is not substantiated. The facility failure to provide proper training and a safe medication administration system is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP22-00632 $188.00 fine assessed