Violation Details: 00403190-AP-354128

Records Request Print
Date
5/19/2025
Report number
00403190-AP-354128
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)(a) and (f)
Findings
The facility failed to provide a safe medication administration system to ensure The Alleged Victim’s (AV) medications were administered as ordered. Based on facility documentation and interviews, AV missed several doses of his/her prescribed medication due to the facility failing to reorder more before running out. The facility failed to have a supply of AV's medication in stock sufficient to allow for the administration of AV's medication according to medical orders, which caused AV unreasonable discomfort, which is a minor violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP25-00421 $225.00 fine assessed