Violation Details: 00364632-AP-314882

Records Request Print
Date
10/31/2024
Report number
00364632-AP-314882
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)(f)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
The Alleged Victim (AV) relies on the facility for medication management. According to an investigation, Between October 31, 2024, and November 3, 2024, AV received a higher dose of his/her medication on multiple occasions, resulting in AV feeling "cloudy and slow" and not able to think straight. The facility failed to provide a safe medication administration system, which is considered neglect of care and constitutes abuse.
Sanction
ALFCP25-00405 $188.00 fine assessed