Violation Details: 00348028-AP-298371

Records Request Print
Date
8/12/2024
Report number
00348028-AP-298371
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Rule(s) Violated
External site: 411-054-0027(1)(g)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
The facility failed to provide a safe medication administration system to ensure The Alleged Victim’s (AV) medications were administered as ordered. Based on facility documentation and interviews, AV missed 3 daily doses of his/her blood pressure medication from July 15, 2024, to July 17, 2024. As a result of missing AV's blood pressure medication, AV was hospitalized for two nights for treatment. The facility's failure to provide a safe medication administration system resulted in AV suffering from elevated blood pressure causing AV unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP25-00019 $500.00 fine assessed