Violation Details: 00361604-AP-311944

Records Request Print
Date
10/18/2024
Report number
00361604-AP-311944
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)(s)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
The Alleged Victim (AV) receives his/her medication from the facility. Between October 19, 2024 and October 21, 2024, AV missed 7 doses of his/her medication. On or about October 18, 2024, facility staff attempted to get a refill of AV's medication, however, the pharmacy had no refills and it was necessary to contact AV's physician to get a new prescription. The physician did not see the request timely, leaving AV without medication. On or about October 20, 2024, AV was feeling ill and was sent out to the hospital, where it was determined that AV was experiencing withdrawals from his/her medication, causing emotional distress and physical harm. The facility's failure to re-order AV's medication timely is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP25-00222 $500.00 fine assessed