Violation Details: 00384601-AP-335130

Records Request Print
Date
2/19/2025
Report number
00384601-AP-335130
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)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(f)
Findings
According to the documentation, the facility failed to provide a safe medication administration system by not measuring liquid narcotic medication correctly. On or about December 15, 2024, The Alleged Victim (AV) received a new bottle of liquid narcotic medication which contained approximately 30 ml. On or about December 19, 2024, after doses were given, a medication technician noticed the count on the medication was wrong, showing less medication than what should have been in the bottle. The failure to provide a safe medication administration system which tracks narcotic medication is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP25-00185 $375.00 fine assessed