Violation Details: 00206665-AP-166811

Records Request Print
Date
6/20/2022
Report number
00206665-AP-166811
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: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
On or about June 20, 2022, the Alleged Victim (AV) was not given his/her morning dose of insulin. A staff was not delegated to give insulin and tried to contact other staff to assist, and was unsuccessful. AV did not get his/her morning insulin until noon, resulting in AV having very high blood sugar and having to be sent out to the hospital for observation. AV was placed at risk for serious harm by not receiving his/her medication as ordered. The facilities failure to provide a safe medication administration system is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP22-00687 $1500.00 fine assessed