Violation Details: 00300415-AP-253741

Records Request Print
Date
12/5/2023
Report number
00300415-AP-253741
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious 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 December 5, 2023, the facility failed to provide a safe medication administration system to ensure The Alleged Victim’s (AV) medications were administered as ordered. Based on facility documentation and interviews, AV's physical and cognitive coordination, communication, and AV's ability to function were diminished as a result of the medication error. The facility's failure resulted in unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP24-00101 $1013.00 fine assessed