Violation Details: 00216364-AP-175464

Records Request Print
Date
7/31/2022
Report number
00216364-AP-175464
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)(f) and (r)
411-054-0028(2)
411-054-0055(1)(a) and f)
Findings
The facility and Alleged Perpetrator #2 (AP2) failed to provide a safe medication administration system to ensure the Alleged Victim (AV) was administer h/h medication as ordered. On or about July 31, 2022, AP2 discontinued the wrong medication, which resulted in AV having high blood pressure due to not receiving h/h blood pressure medication, which is a violation or residents rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP22-01094 $188.00 fine assessed