Violation Details: 00301309-AP-363665

Records Request Print Provider Details
Date
12/12/2023
Report number
00301309-AP-363665
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)(g) and (s)
411-054-0028(2)
411-054-0055(1)(a) and (f)
Findings
On or about December 12, 2023, an investigation determined that the facility failed to provide adequate training and oversite to ensure staff packed the appropriate medications for Alleged Victim's (AV) trip away from the facility to visit Witness 1 (W1), resulting in AV's unreasonable discomfort when AV's [GABA analogue medication] was not available for administration. The facility's failure to provide a safe medication system for AV is a violation of resident rights, is considered neglect of care which constitutes abuse.
Sanction
ALFCP25-00340 $500.00 fine assessed