Violation Details: 00307734-AP-281810

Date
12/25/2023
Report number
00307734-AP-281810
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Findings
According to the documentation, the facility failed to provide a safe medication administration system for the Alleged Victim (AV). On or about December 25, 2023, the Alleged Perpetrator 2 (AP2) administered the AV the wrong blood pressure and potassium medication which placed the AV at risk of harm. There was no documented evidence the facility monitored the AV for side effects. AP2’s failure to provide a safe medication administration system is a violation of resident rights, is considered neglect of care and constitutes abuse. The facilities failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP24-00203 $188.00 fine assessed