Violation Details: 00337220-AP-288139

Records Request Print
Date
6/15/2024
Report number
00337220-AP-288139
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: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0055(a)(f) and (r)
Findings
Alleged Victim (AV) is care planned to self-administer his/her insulin; however, staff must prepare insulin and watch administration. On or about June 15, 2024, a medication audit at the facility discovered AV’s medication to be expired. As a result, AV went through the weekend without his/her medication. Per AV’s PCP, AV not receiving the prescribed medication posed a serious risk of ham. The facility failed to provide a safe medication administration system, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
ALFCP25-00030 $250.00 fine assessed