Violation Details: 00363587-AP-313861

Records Request Print
Date
10/29/2024
Report number
00363587-AP-313861
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)(a) and (f)
Findings
Alleged Victim (AV) relies on the facility for his/her care and the facility is in charge of AV's medications. According to an investigation, AV is on a medication for a clotting disorder and was given no medication, or an incorrect dose for multiple days resulting in AV's platelet count to be low. It was stated that if AVs platelet count got very much lower, it could be very dangerous to AV and result in spontaneous bleeding in the GI system or the brain. The facility failed to ensure AV received their medications as prescribed and provide a safe medication system, resulting in low platelets, which is violation of resident’s rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-00424 $188.00 fine assessed