Violation Details: 00366846-AP-317079

Records Request Print
Date
9/27/2024
Report number
00366846-AP-317079
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Rule(s) Violated
External site: 411-054-0027(1)(g)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
The facility failed to provide a safe medication administration system to ensure The Alleged Victim’s (AV) medications were administered as ordered. Based on facility documentation and interviews, AV went without blood pressure medication for two months. On September 27, 2024, AV was sent to the emergency room due to elevated blood pressure and another health issue after going to a scheduled appointment. The facility's failure resulted in unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP25-00057 $500.00 fine assessed