Violation Details: 00201380-AP-162024

Records Request Print Provider Details
Date
5/22/2022
Report number
00201380-AP-162024
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)
411-054-0027(1)(r)
411-054-0028(2)
411-054-0055(1)(a) and (f)
Findings
The Alleged Victim (AV) is prescribed insulin to control his/her blood glucose. On or about May 22,2022, AV did not receive 3 doses of his/her insulin due to pharmacy error. This is not the first time at AV has missed doses of insulin due to pharmacy error. On May 22, 2022, after not receiving his/her insulin, AV suffered an upset stomach, being tired and overall not well. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP22-01038 $188.00 fine assessed