Violation Details: 00239081-AP-196088

Records Request Print
Date
12/3/2022
Report number
00239081-AP-196088
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) anticoagulant medication orders were administered as prescribed. On multiple occasions, it was discovered that AV did not receive the medication as scheduled, causing risk of serious harm. The facility’s failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP23-00221 $500.00 fine assessed