Violation Details: 00190412-AP-152137

Records Request Print
Date
11/11/2021
Report number
00190412-AP-152137
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
The facility failed to provide a safe medication administration system to ensure the Alleged Victims (AV) medication orders were administered as prescribed. It was discovered that AV was not administered h/h heart medication as scheduled for twelve (12) days. Investigation and interviews show the MAR was placed on hold without a medical provider’s order placing AV at risk of harm. The facility’s failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP23-00983 $250.00 fine assessed