Violation Details: 00382913-AP-333375

Records Request Print Provider Details
Date
2/1/2025
Report number
00382913-AP-333375
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious 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)
411-054-0055(1)(a) and (f)
Findings
The Alleged Victim (AV) receives his/her medication from facility staff. AV was prescribed pain patches at 5%, however, AV could not afford the payment for medication. AV's medication was purchased by a friend and brought to the facility. The medication that AV's friend purchased was a 4% pain patch. No one at the facility caught this difference and administered these patches to AV without a doctors order for this amount for approximately two months. AV ran out of his/her pain patches, AV's friend could not find 5% pain patches over the counter. AV went without any pain patches for approximately 10 days, which caused unreasonable discomfort to AV. The facility's failure to provide a safe medication administration system is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-00787 $500.00 fine assessed