Violation Details: 00197158-AP-158100

Records Request Print
Date
4/27/2022
Report number
00197158-AP-158100
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
411-054-0025(1)(a) and (b)
411-054-0027(1)(r)
411-054-0028(2)
411-054-0055(1)(a) and (f)
Findings
The Alleged Victim (AV) receives pain medication daily for pain management. On or about April 27, 2022, Alleged Perpetrator #3 (AP3) was passing medication and AV did not have any pain medication available to give. Alleged Perpetrator #2 (AP2) had given AV the last of the pain medication and failed to re-order, leaving AV without any pain medication, leaving AV in unnecessary pain. AP2's actions are a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP22-00551 $169.00 fine assessed