Violation Details: 00322158-AP-273922

Records Request Print
Date
3/30/2024
Report number
00322158-AP-273922
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)(g)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f), (2)(b)
Findings
The Alleged Victim (AV) is prescribed anti-convulsant medication. On or about March 30, 2024, AV was found in his/her room convulsing by staff. AV was sent to the hospital for treatment. It was discovered by the facility that AV's medication had been erroneously discontinued by the facility pharmacy. AV had missed his/her medication from March 27, 2024 to March 30, 2024. The facility did not have a procedure to ensure changed made on the Medication Administration Record by the Pharmacy were correct. The facility's failure to provide a safe medication administration system is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP24-00942 $375.00 fine assessed