Violation Details: 00331000-AP-282286

Records Request Print
Date
5/14/2024
Report number
00331000-AP-282286
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)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
According to the documentation, the facility failed to ensure a safe medication administration system was in place by not reordering the Alleged Victim’s (AV) pain medication before running out. On or about March 10, 2024, the AV was notified by the facility they ran out of their pain medication. From approximately March 11, 2024, through March 13, 2024, the AV went without their prescribed pain medication which resulted in pain and unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP24-00726 $375.00 fine assessed