Violation Details: 00342245-AP-292861

Records Request Print
Date
7/12/2024
Report number
00342245-AP-292861
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)(f)
Findings
According to the documentation, the facility failed to provide a safe medication administration system for the Alleged Victim (AV) by administering the wrong dose of blood pressure medication. From approximately May 01, 2024, through July 12, 2024, the AV was given double the dose of their blood pressure medications approximately six times creating a risk of harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP24-00759 $188.00 fine assessed