Violation Details: 00236135-AP-193520

Records Request Print
Date
12/3/2022
Report number
00236135-AP-193520
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)(r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
The Alleged Victim (AV) was scheduled to receive a pain patch every three days. Staff were to remove the old patch when applying the new patch. Hospice had advised staff to put the patch on different areas of AV's skin to assist with absorption of the medication. On or about December 3, 2022, AV's family member found two pain patches on AV at the same time, placing AV at risk for harm. The facility's failure to provide a safe medication administration system is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP23-00303 $500.00 fine assessed