Violation Details: 00366648-AP-316897

Date
11/14/2024
Report number
00366648-AP-316897
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Findings
The Alleged Victim (AV) relies on the facility to manage their medications. According to an investigation, the facility failed to maintain a safe medication system and the AV was administered the incorrect dose of medication for approximately 14 days in October and November of 2024, placing the AV at risk for harm. The allegation that Alleged Perpetrator 2 (AP2) and Alleged Perpetrator 3 (AP3) neglected the AV was investigated and determined to be not substantiated. The facility failed to administer AV’s medication as ordered, which is a violation of resident’s rights, is neglect of care, and constitutes abuse.
Sanction
RCFCP25-01034 $188.00 fine assessed