Violation Details: 00249316-AP-205109

Records Request Print
Date
2/28/2023
Report number
00249316-AP-205109
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)
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’s (AV) medications were administered as ordered. Based on facility documentation and interviews, AV has a complex medication regiment and facility failed to administer AV's medication as ordered by AV's medical provider causing AV to suffer adverse effects including behavioral disturbances. The facility's failure to provide a safe medication administration system resulted in unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP23-00570 $500.00 fine assessed