Violation Details: 00373327-AP-323713

Records Request Print
Date
12/21/2024
Report number
00373327-AP-323713
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)(s)
Findings
According to the documentation, the Alleged Perpetrator 2 (AP2) failed to provide a safe medication administration system for the Alleged Victim (AV) by giving them the wrong medication. On or about December 21, 2024, AP2 was passing medications to the AV. during this medication pass, AP2 failed to check the medication card for the AV’s name, prescription, narcotic log or MAR to ensure the medication card belonged to the AV. AP2 gave the AV another residents medication which made them drowsy to the point where they could not stay awake to eat, stand safely or take a shower. AP2 failed to provide a safe medication administration system for the AV resulting in adverse side effects, which is a violation of resident rights, is considered neglect of care and constitutes abuse.