Violation Details: 00299352-AP-252753

Records Request Print
Date
11/29/2023
Report number
00299352-AP-252753
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
External site: 411-054-0027(1)(f)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
On or about November 29, 2023, the facility failed to provide a safe medication administration system to ensure The Alleged Victim’s (AV) phenobarbital medication was administered as ordered. The facility's failure to provide a safe medication administration system resulted in unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse. Alleged Perpetrator 2 (AP2), Alleged Perpetrator 3 (AP3), and Alleged Perpetrator 4 (AP4) allegedly neglected AV. An investigation determined no abuse occurred by AP2, AP3, and AP4.
Sanction
ALFCP24-00136 $338.00 fine assessed