Violation Details: 00320329-AP-272167

Date
3/16/2024
Report number
00320329-AP-272167
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
The Alleged Victim (AV) relies on the facility to manage his/her medications. According to an investigation, on or about March 16, 2024, the AV was administered a medication by a family member, resulting in multiple falls. The AV's family member informed Alleged Perpetrator 2 (AP2) that they gave the AV an un-prescribed medication. AP2 was not aware of the facility policy to inform facility management or initiate monitoring the AV for potential side effects. The facility failed to provide inservice to AP2 on facility policies regarding family members administering medication, which is a violation of resident rights, considered neglect, and constitutes abuse. The allegation that Alleged Perpetrator 2 (AP2) neglected AV was investigated and determined to be not substantiated.
Sanction
RCFCP25-01470 $188.00 fine assessed