Violation Details: 00193217-AP-154554

Records Request Print
Date
4/5/2022
Report number
00193217-AP-154554
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: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(f)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
Alleged Victim (AV) was given the wrong dose and/or also missed multiple doses of scheduled pain medication between approximately March 29, 2022, and April 6, 2022, causing AV unnecessary discomfort. The facility failed to provide a safe medication administration system to ensure AV’s physician orders were followed, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP22-00820 $375.00 fine assessed