Violation Details: 00362221-AP-312504

Records Request Print
Date
10/22/2024
Report number
00362221-AP-312504
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to administer medication as ordered
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b), 411-054-0027(1)(g) and (s), 411-054-0028(2) and 411-054-0036(2)(g)
External site: 411-054-0055(1)(a) and (f)
Findings
The Alleged Victim (AV) relies on the facility to manage his/her medications. The AV is care planned to have AV a meal within thirty minutes after receiving insulin. According to an investigation, on or about October 22, 2024, AV was not able to eat before getting on a bus for a medical appointment, causing AV to experience low blood sugar, placing AV at serious risk of harm. The facility failed to provide a safe medication administration system and failed to administer medication as ordered, which is a violation of resident rights, is neglect of care and constitutes abuse. The allegation that Alleged Perpetrator 2 (AP2) neglected the AV was investigated and determined to be not substantiated.
Sanction
ALFCP25-00235 $188.00 fine assessed