Violation Details: 00359285-AP-309626

Records Request Print
Date
10/9/2024
Report number
00359285-AP-309626
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)(f)
Findings
According to the documentation, the facility failed to provide a safe medication administration system by not having the Alleged Victim’s (AV) pain medication available when they returned to the facility. On or about September 10, 2024, the AV returned to the facility with orders for pain medication. Upon the AV’s return, the facility ordered the medication after the AV was admitted back to the facility. It wasn’t until approximately September 12, 2024, at around 2:30 pm when the first pain medication was administered to treat the AV’s pain. The AV was in pain for approximately two days before receiving prescribed pain medication, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP25-00196 $500.00 fine assessed