Violation Details: 00244373-AP-202157

Date
1/22/2023
Report number
00244373-AP-202157
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Findings
Alleged Victim (AV) relies on the facility to administer his/her medications. On or about January 22, 2023, the Alleged Perpetrator 3 (AP3) was scheduled to administer AV delegated metabolic medication but left several hours earlier than the medication was scheduled to be given. It is unclear if the medication was administered, as the Medication Administration Record (MAR) was not signed. Not administering the medication or administering the medication and not documenting that it was given placed AV at risk for serious harm. AP3 and 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
RCFCP23-00427 $250.00 fine assessed