Violation Details: 00221640-AP-180378

Records Request Print
Date
9/16/2022
Report number
00221640-AP-180378
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(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
The facility failed to provide a safe medication administration system to ensure the Alleged Victim (AV) received his/her medication as ordered. AV was sent to the hospital on September 16, 2022 and returned the same day, however, staff did not know AV had returned. AV went without needed medication for three medication passes, placing AV at risk for harm. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP22-01167 $375.00 fine assessed