Violation Details: 00242323-AP-198913

Records Request Print
Date
1/7/2023
Report number
00242323-AP-198913
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: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(f) and (r)
Findings
Alleged Victim (AV) relies on the facility to administer his/her medication. AV has missed four (4) of their scheduled medications between January 12th through 14th, 2023, due to medication being all on order. It was found that medications were not being ordered correctly and that staff were not properly trained on how/when to order. As a result, missed pain management medication can result in increased pain, behaviors and decreased mobility and participation in ADL’s/activities by AV. The facility failed to provide a safe medication administration system, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP23-01161 $500.00 fine assessed