Violation Details: 00265639-AP-220560

Records Request Print
Date
5/28/2023
Report number
00265639-AP-220560
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) and (r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
Alleged Victim (AV) relies on the facility to administer his/her medication. On or about May 28, 2023, AV missed two (2) doses of his/her insulin due to not having needles available. Staff called the pharmacy around 10:30am and requested a stat order. The order did not arrive until after 10pm. The PM med tech was not able to administer AV’s scheduled dose due to this. As a result of the missed medication, AV was sent to the hospital due to AV’s blood glucose being high and was not returned from the facility until the next day. The facility failed to provide a safe medication administration system, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP23-01040 $375.00 fine assessed