Violation Details: 00380568-AP-331083

Records Request Print
Date
1/25/2025
Report number
00380568-AP-331083
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)(s)
411-054-0028(2)
411-054-0030(1)(f)
411-054-0055(1)(a) and (f)
Findings
On or about January 18, 2025, the Alleged Victim (AV) was discharged from hospice care, without a confirmed care plan or continuity of his/her opioid prescription. AV missed 8 doses of his/her opioid medication from January 24, 2025, and January 28, 2025, leaving AV with increased pain and agitation, causing increased falls due to unmanaged pain. The facility's failure to manage AV's medications is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-00657 $188.00 fine assessed