Violation Details: 00269018-AP-223953

Date
6/15/2023
Report number
00269018-AP-223953
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Findings
The facility failed to provide a safe medication administration system to ensure The Alleged Victim’s (AV) medications were administered as ordered. Based on facility documentation and interviews, the facility failed to ensure AV had his/her laxative on hand, which caused AV to miss two weeks of doses, which led to AV experiencing bowel irregularity, pain, and discomfort from constipation. The facility failure is which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP23-00587 $500.00 fine assessed