Violation Details: 00414830-AP-366081

Records Request Print
Date
7/20/2025
Report number
00414830-AP-366081
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(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
On or about July 19, 2025, the facility failed to ensure the safe administration of medications as ordered, resulting in the Alleged Victim (AV) not receiving their prescribed anticonvulsant medication. This medication is critical for managing AV’s seizure condition, and the missed dose placed AV at risk of moderate harm. The facility's failure to provide a safe medication system for AV is a violation of resident’s rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-01019 $375.00 fine assessed