- Date
- 9/28/2022
- Report number
- 00223699-AP-182288
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- On or about September 28, 2022, the facility discovered the Alleged Victim (AV) controlled medication count was incorrect at the end of Alleged Perpetrator 2 (AP2) shift. There had been no administration from this medication during AP2 shift. AP2’s Morphine bottle count was correct at the being of shift and off, at the end. AP2’s actions are a violation of resident rights, are considered neglect of care and constitute financial abuse. The facility failed to provide a safe medication administration system, which is a violation of resident rights, is considered neglect of care and constitutes abuse.