Violation Details: 00413367-AP-364748

Records Request Print
Date
7/12/2025
Report number
00413367-AP-364748
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 for the Alleged Victim (AV) by not having their PRN pain medication available. On or about July 11, 2025, AV was suffering from a headache and requested PRN pain medication. Staff said they had to wait due to a different PRN medication being administered already. The next day, on July 12, 2025, AV asked again for the PRN medication for their headache and staff told AV they were out of that medication. The AV called 911 and was taken to the hospital so they could receive their medication, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP25-01016 $375.00 fine assessed