Violation Details: 00348590-AP-299096

Records Request Print
Date
8/12/2024
Report number
00348590-AP-299096
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: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0055(1)(a) and (f)
Findings
The Alleged Victim (AV) relies on the facility for care and for managing AV’s medications. According to an investigation, AV ran out of medication to control high blood pressure and missed all doses between June 2, 2024 and June 20, 2024, causing repeated unreasonable discomfort and placing AV at risk for stroke, heart attack, acute kidney injury, and death. The facility failed to administer medication as ordered and provide a safe medication administration system which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-00058 $500.00 fine assessed