Violation Details: 00272712-AP-227475

Date
7/8/2023
Report number
00272712-AP-227475
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. On or about July 8, 2023, the facility failed to administer AV's narcotic medication as ordered. Two of AV's narcotic medication went missing on the day in question and could not be accounted for in the facility's narcotic count process. The facility's failure resulted in unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse. Alleged Perpetrator 2 (AP2) allegedly financially exploited AV by wrongfully taking medication from AV. An investigation determined inconclusive findings for abuse by AP2.
Sanction
ALFCP23-00666 $375.00 fine assessed