Violation Details: 00405938-AP-356952

Date
6/4/2025
Report number
00405938-AP-356952
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Findings
Alleged Victim (AV) relies on the facility to administer his/her medications. Facility policy is that medications should be reordered when residents have 5 days’ worth of medication left. On or about June 04,2025, at approximately 6:00am while administering medication, staff discovered that AV was out of AV’s anxiety medication, leading to AV missing morning dose. AV’s medication was not reordered in compliance with the facility's policy. This led to AV experiencing heightened levels of anxiety, increased behavioral issues, rapid breathing and a high heart rate. medication. The facility failed to administer medication as ordered, which is a violation of resident rights is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-01102 $188.00 fine assessed