Violation Details: 00372357-AP-323221

Records Request Print Provider Details
Date
12/17/2024
Report number
00372357-AP-323221
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
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0055(1)(a) and (f)
Findings
Alleged Victim (AV) relies on the facility to administer his/her medication. On or about November 12, 2024, an antipsychotic was prescribed to AV in anticipation of AV being moved to help AV cope with the change. On or about December 9, 2024, it was discovered that the facility was not administering AV’s antipsychotic medication properly. AV was supposed to be getting a total of 75 mg every time it was administered, but AV was only getting 50 mg. The facility failed to provide a safe medication administration system for AV by failing to monitor AV when there was a medication change, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP25-00689 $1313.00 fine assessed