Violation Details: 00414226-AP-394818

Records Request Print
Date
6/30/2025
Report number
00414226-AP-394818
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), 411-054-0027(1)(g) and (s), 411-054-0028(2), 411-054-0055(1)(a)(e) and (f)
Findings
The Alleged Victim (AV) relies on the facility to administer his/her medications. According to an investigation, on or about July 6, 2025, AV did not receive anxiety medication as ordered. AV did not receive ordered medication on July 6, 2025, and July 12, 2025, resulting in AV experiencing increased anxiety. AP2 had marked the MAR as administered, but the narcotics log and medication count did not match. AP2's actions resulted in unreasonable discomfort for AV, are considered neglect and constitutes abuse. Medication audits had not been completed so the error was not identified. The facility failed to provide a safe medication system, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP26-00120 $500.00 fine assessed