Violation Details: 00236664-AP-194000

Records Request Print
Date
12/14/2022
Report number
00236664-AP-194000
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious 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
On or about December 14, 2022, the Alleged Victim (AV) was given another residents medication during medication pass. The facility was continuing to check AV's vitals through out the day. AV's blood pressure and pulse dramatically decreased and emergency services were called. AV was transported to the hospital where he/she was treated and remained in the hospital for a few days to recover. 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
RCFCP23-00435 $375.00 fine assessed