Violation Details: 00188851-AP-150698

Records Request Print
Date
3/12/2022
Report number
00188851-AP-150698
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b)
411-054-0027(1)(r)
411-054-0028(2)
411-054-0055(1)(a) and (f)
Findings
On or about March 11, 2022 at 11 PM, the Alleged Victim (AV) was given 4 times the dosage of pain medication that he/she was supposed to receive, and again on March 12, 2022 at 3:00 AM, again, 4 times the dosage. AV complained of abnormal symptoms at 4 AM. Alleged Perpetrator #2 (AP2) realized his/her error at this time and contacted the facility Nurse and then called emergency services. AV was transported to the hospital for evaluation. AP2's failure is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failure to provide a safe medication administration system is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP23-00029 $1125.00 fine assessed