- Date
- 5/23/2023
- Report number
- 00265358-AP-220324
- 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 medication. On or about May 23, 2023, at about 8pm, AV was given another resident’s medications by Alleged Perpetrator 2 (AP2). This included Donepezil dose and Melatonin dose. Prior history shows that AV has had a total of three (3) medications errors events, which puts AV in risk of harm. None of which were self-reported. AP2 failed to provide a safe medication administration system for AV, which is neglect of care and constitutes abuse. 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
- ALFCP24-00040 $500.00 fine assessed