Violation Details: 00235564-AP-193019

Records Request Print
Date
12/5/2022
Report number
00235564-AP-193019
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)(f) and (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 Victims (AV) medication orders were administered as prescribed. It was discovered that AV did not receive injectable blood sugar lowering medication as scheduled. The facility did not re-order the medication timely, and did not have medication available, placing the AV at risk of serious harm. The facility’s failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP23-00288 $500.00 fine assessed