Violation Details: 00366341-AP-316592

Records Request Print
Date
11/5/2024
Report number
00366341-AP-316592
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)(f)
Findings
According to the documentation, the facility failed to administer prescribed blood pressure medication for the Alleged Victim for approximately four days. From approximately November 05, 2024, through November 08, 2024, the facility failed to administer the AV blood pressure medication due to ordering it late from the pharmacy. When the medication was delivered, the medication was misplaced so it was not accounted for. The facility did not monitor the AV’s blood pressure placing them at risk for serious harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP25-00183 $1500.00 fine assessed