Violation Details: 00284513-AP-239040

Date
9/3/2023
Report number
00284513-AP-239040
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 Alleged Victim (AV) relies on the facility to manage his/her medications. According to an investigation, AV ran out of his/her narcotic pain medication and did not receive the medication for approximately six days, resulting in AV being sent to the hospital where he/she experienced withdrawal symptoms. The facility failed to provide a safe medication administration system to ensure AV’s pain medication was available to be administered as ordered, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP23-00783 $500.00 fine assessed