- Date
- 6/6/2023
- Report number
- 00267310-AP-222435
- Type
- Licensing Violation
- 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 medications. On or about June 6, 2023, Alleged Perpetrator 2 (AP2) gave AP2 another resident’s medication. AP2 did not realize until after AV took the medications. As a result of the medication error, AV was sent to the hospital. AP2 failed to provide a safe medication administration system, which is neglect of care and constitute abuse.