Violation Details: 00285342-AP-239668

Records Request Print
Date
5/31/2023
Report number
00285342-AP-239668
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
411-054-0025(1)(a) and (b)
411-054-0027(1)(r)
411-054-0028(2)
411-054-0055(1)(a) and (f)
Findings
On or about May 31, 2023, the Alleged Victim (AV) was given a double dose of anticoagulant medication. The information in the facility's medication administration system was incorrect, leading to the double dosage of AV's medication. The facility's failure to provide a safe medication administration system placed AV at risk for harm. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.