Violation Details: 00239393-AP-196303

Records Request Print
Date
1/2/2023
Report number
00239393-AP-196303
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)(g)
External site: 411-054-0055(1)(a) and (e)
Findings
Alleged Victim (AV) relies on facility staff to administer medications. According to an investigation, on or about, January 2, 2023, it was discovered that Alleged Perpetrator 2 (AP2) had replaced approximately 65 tablets of AV's pain management medications with other similar looking pills. This resulted in AV not having the ordered medication administered and experiencing more pain than usual. AP2's actions are considered financial exploitation and constitutes abuse. Based on the investigation, it was determined that the facility did not provide a safe medication administration system. The facility did not keep AV free from financial exploitation, which is a violation of resident rights, is neglect of care which constitutes abuse.
Sanction
ALFCP24-00815 $188.00 fine assessed