Violation Details: 00339569-AP-290443

Records Request Print
Date
6/26/2024
Report number
00339569-AP-290443
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(1)(a) and (f)
Findings
Alleged Victim (AV) relies on the facility to administer and store his/her medications. On or about the afternoon of June 26, 2024, it was observed at shift change that the amount of liquid in AV’s narcotic medication bottle did not align with the amount remaining recorded in the narcotics log, there was a difference of approximately 1.25mL. AV did not have any signs of over-sedation, therefore it’s unlikely AV received extra medication in error. It is believed an unknown Alleged Perpetrator 2 (AP2) may have wrongfully taken medication. AP2 failed to provide a safe medication administration system for AV, which is neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system for AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
ALFCP24-01112 $450.00 fine assessed