- Date
- 9/8/2023
- Report number
- 00284736-AP-239109
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- On or about September 8, 2023, the Alleged Victim (AV) had his/her blood glucose measured and it was at 50, according to the staff that took the reading. This staff did not give AV any juice or glucose tablets to increase AV's blood glucose, nor did they note the reading in any documentation. At approximately 9 am that same morning, another staff checked and AV's blood glucose was at 70, and that staff member proceeded to give AV his/her shot of insulin. Later that morning, staff came into the room and AV was awoken by staff shaking him/her. They handed AV orange juice and left the room. AV couldn't open the orange juice and called for staff assistance, to which staff responded, opened the juice and stayed with AV to assist him/her in drinking it. The facility staff inaction placed AV at risk for serious harm. The facility's failure to provide a safe medication administration system is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- ALFCP24-00056 $500.00 fine assessed