Violation Details: 00365963-AP-316225

Records Request Print Provider Details
Date
11/5/2024
Report number
00365963-AP-316225
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
411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0055(1)(f)
Findings
According to the documentation, the facility failed to provide a safe medication administration system for the Alleged Victim (AV). Between November 05, 2024, through November 07, 2024, the facility experienced an error on their MAR which led to the MT to administer multiple doses of AV’s medications. Multiple doses of AV’s medications can lead to negative side effects, putting the AV at risk of harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-00244 $0.00 fine assessed