Violation Details: 00190411-AP-152136

Records Request Print
Date
3/21/2022
Report number
00190411-AP-152136
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
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
The facility, Alleged Perpetrator 2 (AP2) and Alleged Perpetrator 3 (AP3) failed to provide a safe medication administration system to ensure the Alleged Victim's (AV) medication was administered as ordered. AV was unresponsive, transported to the hospital and stayed overnight. The facility’s, AP2’s and AP3’s failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP22-00681 $1350.00 fine assessed