Violation Details: 00193396-AP-154718

Records Request Print
Date
4/4/2022
Report number
00193396-AP-154718
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(1)(r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
On or about April 4, 2022, the Alleged Victim (AV) was upset that he/she did not receive his/her insulin as ordered. Alleged Perpetrator #2 (AP2) was asked by other staff if he/she had administered AV his/her insulin and replied that he/she had given it. The next morning, AV's evening insulin was found in a drawer of the medication cart. AP2's actions are a violation of resident rights, are considered neglect of care and constitute abuse. The facility's failure to provide a safe medication administration system is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP22-00640 $250.00 fine assessed