Violation Details: 00256165-AP-211695

Records Request Print
Date
3/15/2023
Report number
00256165-AP-211695
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious 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)(a) and (f)
Findings
Alleged Victim’s (AV’s) March 14, 2023, Service Plan stated: Staff are to store, order and dispense all of AV’s medications. Between March 14, 2023, through March 29, 2023, the facility failed to administer AV’s prescribed medications. As a result, AV suffered pain and narcotic withdrawal symptoms, including tremors, cold sweats, stomach cramps, rapid heart rate and profuse vomiting. AV went through withdrawals for eight (8) days. The facility failed to provide a safe medication administration system for AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
ALFCP24-00704 $1500.00 fine assessed