Violation Details: 00231049-AP-188975

Date
11/8/2022
Report number
00231049-AP-188975
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to administer medication as ordered
Result
Substantiated
Findings
Alleged Victim (AV) relies on the facility to administer his/her medications. AV’s service plan indicates staff to perform CBG and to perform insulin injections, staff to reorder medications as needed, facility will assist AV in taking all routine and PRN medications according to doctor’s orders. On or about November 07, 2022, AV CBG was checked before dinner, and it was severely high with a reading of (597). It was discovered AV insulin was discontinued on the MAR on or about October 20, 2022. AV had not received their daily insulin for approximately eighteen (18) days. The facility failed to administer medication as ordered, which is a violation of resident rights is considered neglect of care and constitutes abuse.
Sanction
ALFCP24-00078 $500.00 fine assessed