Violation Details: 00311513-AP-264040

Records Request Print
Date
2/6/2024
Report number
00311513-AP-264040
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: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
External site: 411-054-0070(1)
Findings
On or about February 6, 2024, staff found the Alleged Victim (AV) stumbling out of his/her room with blood and a cut on his/her head. AV has a condition where he/she passes out while having bowel movements, and is to have his/her bowel movements monitored and take medication when no bowel movement has occurred for two days. On the day in question, AV hadn't had a bowel movement for approximately 3 days and was not given any medication. AV was sent to the hospital where he/she received stitches in his/her head. The facility's failure to provide a safe medication administration system and ensure there are enough staff to check on residents consistently is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP24-00520 $1125.00 fine assessed