Violation Details: 00204834-AP-165163

Records Request Print
Date
4/24/2022
Report number
00204834-AP-165163
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(12)(a) and (b)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
According to the documentation, the facility failed to provide a safe medication administration system for the Alleged Victim (AV) who receives numerous injectable medications. On or about April 24, 2022, the Alleged Perpetrator (AP2) administered 20 units of the incorrect insulin medication placing the AV at risk for harm. AP2’s failure to provide a safe medication administration system is considered neglect of care and constitutes 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
ALFCP23-00617 $250.00 fine assessed