Violation Details: 00377511-AP-327945

Records Request Print
Date
1/13/2025
Report number
00377511-AP-327945
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
411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0055(1)(a)
Findings
The Alleged Victim (AV) relies on the facility for care, which includes medication management. On or about January 13, 2025, AV was given another residents medication, resulting in AV experiencing diarrhea. According to an investigation, there was not a multistep authentication process to verify medications match the physician order prior approving them in the MAR and administering. The facility failed to provide a safe medication system, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The Allegation that AP2 neglected AV was unsubstantiated.
Sanction
RCFCP25-01381 $188.00 fine assessed