Violation Details: 00203782-AP-164300

Records Request Print
Date
6/7/2022
Report number
00203782-AP-164300
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide a safe medication administration system
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 medication were available and administered as ordered on multiple occasions. From approximately June 1, 2022, to June 30, 2022, AV was not given approximately sixteen doses of two of his/her heart medications, which resulted in AV experiencing repeated unreasonable discomfort and serious risk of harm. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP22-01036 $1500.00 fine assessed