Violation Details: 00239577-AP-196487

Records Request Print
Date
12/19/2022
Report number
00239577-AP-196487
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 Victim (AV)s medication orders were administered as prescribed. On multiple occasions, it was discovered that AV was administered the incorrect dose of prescribed medication causing AV to experience changes in baseline, and exposed AV to serious risk of harm. The facility’s failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP23-00275 $500.00 fine assessed