Violation Details: 00235217-AP-192687

Date
12/5/2022
Report number
00235217-AP-192687
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to administer medication as ordered
Result
Substantiated
Findings
The facility failed to provide a safe medication administration system to ensure the Alleged Victim's (AV) medications were administered as ordered and to ensure that the Alleged Perpetrator 2 (AP2) was properly trained to pass medications. According to an investigation, on or about December 5, 2022, AV did not receive his/her diabetic medication according to the doctor’s orders. AV experienced unstable blood sugar and confusion and had to be sent to the hospital for treatment. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse. The allegation that AP2 failed to provide care to AV was investigated, and the determination was not substantiated.
Sanction
ALFCP23-00191 $1125.00 fine assessed