Violation Details: 00323230-AP-274875

Date
3/12/2024
Report number
00323230-AP-274875
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 to provide a safe medication administration system for the Alleged Victim. After review of training documentation, it was determined the facility failed to train the Alleged Perpetrator 2 (AP2) to safely pass medication before passing medication. The failure resulted in the AP2 to administer the wrong dose of behavioral medication causing risk of increased behaviors. 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
RCFCP24-00451 $338.00 fine assessed