Violation Details: 00317447-AP-269513

Records Request Print
Date
2/20/2024
Report number
00317447-AP-269513
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: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
The facility failed to ensure the Alleged Victim's (AV) medication was obtained and administered as ordered post surgery. The failure resulted in AV going back to the ER 3 times between 02/21/24 and 02/27/24, with symptoms and concerns, but there was never a mention around AV not receiving hospital discharge medications. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP24-00669 $500.00 fine assessed