Violation Details: 00238176-AP-195327

Date
12/1/2022
Report number
00238176-AP-195327
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Findings
The facility failed to provide a safe medication administration system to ensure the Alleged Victims (AV) medication orders were administered as prescribed. On multiple occasions, it was discovered that AV did not receive h/h eye drop medication as scheduled, causing AV an increase in anxiety, disruption of treatment, and risk of losing eyesight. The facility’s failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP23-00464 $250.00 fine assessed