Violation Details: 00271813-AP-226720

Date
7/3/2023
Report number
00271813-AP-226720
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 manage and administer his/her medications. AV has medical diagnosis that requires AV to be administered pain medication daily. On or about July 3, 2023, it was discovered that AV no longer had any more tablets of his/her pain medication #1. As a result, AV missed a total of eight (8) doses of his/her pain medication #1 before a new prescription re-fill was received by the facility resulting in AV reported feeling pain. The facility failed provide a safe medication administration system for AV’s medication #1, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
ALFCP24-00069 $1000.00 fine assessed