Violation Details: 00370931-AP-321271

Records Request Print
Date
12/8/2024
Report number
00370931-AP-321271
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 provide a safe medication administration system by ensuring the Alleged Victim’s (AV) narcotic medications were reordered timely to ensure they did not run out. On or about November 01, 2024, the facility ran out of the AV's narcotic medication and did not administer their 6:00 pm does. Between November 01. 2024, through November 08, 2024, the facility failed to administer approximately 9 doses of their scheduled narcotic medication. The failure to provide a safe medication system caused the AV to suffer increased pain, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP24-01129 $188.00 fine assessed