Violation Details: 00283668-AP-238074

Date
9/1/2023
Report number
00283668-AP-238074
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious 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, AV's narcotic medication patch was not given to AV for six days, which caused AV to experience full withdrawal symptoms. AV did not receive his/her medications for AV's muscular condition for eight days. The facility's failure resulted in unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP23-00670 $1500.00 fine assessed