Violation Details: 00273794-AP-228555

Records Request Print
Date
5/11/2023
Report number
00273794-AP-228555
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 medications. On or about May 11, 2023, AV received an order to start an anti-psychotic medication and to stop a PRN narcotic. The facility was handed the new anti-psychotic medication by Witness 1 (W1) on or about May 11, 2023, however, this was not started until June 10, 2023. As a result of AV not getting the anti-psychotic medication timely, AV hallucinated, putting AV is risk of harm. 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
RCFCP23-01047 $1000.00 fine assessed