Violation Details: 00289611-AP-243653

Records Request Print
Date
10/6/2023
Report number
00289611-AP-243653
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)(f) and (r)
411-054-0055(1)(a)(b) and (f)
Findings
According to the documentation, the facility failed to provide a safe medication administration for the Alleged Victim (AV). The Alleged Perpetrator 3 (AP3) prepared medications for a resident and allowed the Alleged Perpetrator 2 (AP2) to administer the medication. The AP2 thought the medications were for the AV and they administered the medication to them resulting in an adverse reaction which required the AV to be seen at the hospital, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP24-00080 $188.00 fine assessed