Violation Details: 00186374-AP-148516

Records Request Print
Date
2/23/2022
Report number
00186374-AP-148516
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)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
Alleged Victim (AV) relies on the facility to administer his/her medication. On or about February 23, 2022, Alleged Perpetrator 2 (AP2) was training Alleged Perpetrator 3 (AP3) to be a med tech. AP2 handed another resident’s medication to AP3 who then gave that medication to AV. The next day AV was vomiting, had a hard time to wake and open his/her eyes, had pale skin, and had a hard time eating. The facility, AP2 and AP3 failed to provide a safe medication administration system for AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP23-00042 $1000.00 fine assessed