Violation Details: 00246057-AP-202229

Date
1/21/2023
Report number
00246057-AP-202229
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Findings
The Alleged Victim (AV) missed approximately four (4) doses of his/her scheduled pain medication between approximately January 21, 2023 and January 23, 2023, which led to AV exhibiting multiple withdrawal symptoms, unnecessary discomfort, and to be transported to the hospital for treatment. The facility failed to provide a safe medication administration system to ensure AV’s physician orders were followed and medications were reordered timely. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP23-00515 $1500.00 fine assessed