Violation Details: 00193652-AP-154983

Records Request Print
Date
3/22/2022
Report number
00193652-AP-154983
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
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 failed to provide a safe medication administration system to ensure AV's medications were administered as ordered. Approximately five times, between March 7, 2022, and March 24, 2022, AV was given a medication that he/she should not have been given due to a reduced heart rate, leaving AV at risk for serious harm. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP22-01737 $188.00 fine assessed