Violation Details: 00256654-AP-212090

Records Request Print
Date
4/8/2023
Report number
00256654-AP-212090
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: 411-054-0025(1)(a) and (b)
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
According to the documentation, the facility failed to reorder the Alleged Victim’s (AV) pain medication and ran out of the medication on approximately April 8, 2023. The failure resulted in the AV to experience cramps and a burning sensation in their leg causing unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP23-00482 $375.00 fine assessed