- Date
- 7/17/2023
- Report number
- 00274504-AP-229137
- Type
- Abuse: Neglect
- Level
- 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
- 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, AV did not receive his/her blood pressure medication as ordered from June 24, 2023 through July 17, 2023. As a result of AV not getting his/her prescribed blood pressure medication, AV's blood pressure increased to an unhealthy range and AV was taken to the hospital and was diagnosed with having a stroke. The facility's failure resulted in unreasonable discomfort and hospitalization, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP23-01305 $1500.00 fine assessed