Violation Details: 00342401-AP-293023

Records Request Print
Date
7/14/2024
Report number
00342401-AP-293023
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 provide a safe medication administration system for the Alleged Victim (AV) by failing to train the Alleged Perpetrator 2 (AP2) appropriately for medication administration. On or about July 14, 2024, (AP2) administered the AV another residents’ medications. Review of the documentation proved the facility failed to properly train the AP2 on medication systems before allowing them to administer medications. The AV suffered unreasonable discomfort due to the medication error, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP24-00806 $250.00 fine assessed