Violation Details: 00349707-AP-300097

Records Request Print
Date
8/17/2024
Report number
00349707-AP-300097
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)
External site: 411-054-0027(10(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(
Findings
According to the documentation, the facility failed to provide a safe medication administration system by not in-putting the Alleged Victim’s (AV) blood-thinning medication correctly in the system. On or about August 15, 2024, the AV received a new order for blood-thinning medication and was input into the facilities MAR incorrectly. Due to the transcription error, the AV missed doses of their blood thinning medication on August 17, 2024 ,and August 18, 2024, putting the AV at risk for harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP25-00318 $188.00 fine assessed