Violation Details: 00324753-AP-276293

Records Request Print
Date
3/1/2024
Report number
00324753-AP-276293
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to administer medication as ordered
Result
Substantiated
Rule(s) Violated
External site: 411-054-0027(1)(g)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
The facility failed to provide a safe medication administration system to ensure Alleged Victim’s (AV) high blood pressure medication was administered as ordered from March 1, 2024, through March 16, 2024. Based on facility documentation and interviews, the facility failed to have AV's blood pressure medication available, causing AV to go without his/her medication for 16 days placing AV at risk for syncope episodes and cognitive changes. The facility's failure resulted in AV experiencing pain and unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility allegedly neglected AV. An investigation inconclusively determined no abuse occurred by AP2.
Sanction
ALFCP24-00682 $1500.00 fine assessed