Violation Details: 00227784-AP-186031

Records Request Print Provider Details
Date
10/20/2022
Report number
00227784-AP-186031
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)
411-054-0028(2)
411-054-0055(1)(a) and (2)
Findings
On or about October 20, 2022, an apparent drug diversion as well as multiple medication administration errors were discovered in the facility. The Alleged Victim’s (AV) Medication Administration Record (MAR) revealed numerous documentation discrepancies, medications that ran out and there are multiple instances where it is unclear if AV was receiving their medication per physician orders. The facility failed to provide a safe medication system, which placed AV at risk for harm. The facility’s failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP23-00204 $338.00 fine assessed