Violation Details: 00236939-AP-194231

Records Request Print
Date
12/5/2022
Report number
00236939-AP-194231
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 was administered the incorrect dose of a blood thinning medication resulting in blood work coming back high and placing AV at significant risk of harm. The facility’s failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP23-00256 $375.00 fine assessed