Violation Details: 00354079-AP-304434

Records Request Print
Date
9/3/2024
Report number
00354079-AP-304434
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to administer medication as ordered
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
The Alleged Victim (AV) relies on the facility for care and medication management. According to an investigation, AV’s prescription eye drops were not refilled on a consistent basis between January 2024, and September 2024. Based on the last refill date and the physician order, AV would have run out of their eye drops on approximately May 27, 2024. Despite the facility marking the medication administrator records that the drops were given, AV’s prescription drops were not administered between approximately May 27, 2024 and September 3, 2024, resulting in the AV having blurry vision and pressure build up behind their eyes. The facility failed to administer medication according to physician order and provide a safe medication system, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-00597 $1500.00 fine assessed