- Date
- 10/31/2024
- Report number
- 00363696-AP-313967
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to provide service
- Result
- Substantiated
- Findings
- Alleged Victim (AV) relies on the facility for care and to administer his/her medications. On or about October 31, 2024, Alleged Perpetrator 2 (AP2) was training a new employee, Witness 4 (W4), to pass medications when W4 administered AV another resident's medications. According to an investigation, AP2 was not sure where W4 was in their training and was not watching W4 to ensure medications were administered according to their physician order. After AV was given the wrong medications, AV was nonresponsive and had a faint/weak pulse and was transported to the hospital. AP2 neglected AV by failing to ensure medications were given as ordered, which is a violation of resident rights, is neglect of care and constitutes abuse. The facility failed to provide appropriate services, to include a safe medication administration system, oversight of medication training, and that physician orders were carried out as prescribed, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- RCFCP25-01211 $1125.00 fine assessed