Violation Details: 00238481-AP-195545

Records Request Print
Date
12/27/2022
Report number
00238481-AP-195545
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: 411-054-0055(1)(a) and (f)
Findings
The facility and AP2 failed to provide a safe medication administration system which resulted in the Alleged Victim (AV) running out of their long-lasting insulin prescription. The facility’s failure to re-order the medication timely, resulted in AP2 directing staff members to administer another resident’s insulin to AV, and substituting short acting insulin for their long-lasting insulin, from 12/22/2022 through 12/27/2022, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP23-00276 $188.00 fine assessed