Violation Details: 00415601-AP-366920

Records Request Print
Date
7/24/2025
Report number
00415601-AP-366920
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious 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 Alleged Victim (AV) relies on the facility for care and assistance with their medications. According to an investigation, the facility received an antibiotic eye medication order for AV on July 19, 2025, but it did not contain the physician's signature. The facility failed to follow-up with the physician to obtain the signature needed for approximately five (5) days. The facility administered the first dose of the antibiotic eye drops on or about July 24, 2025, resulting in a delay in treatment which caused unreasonable discomfort and pain to AV from their infected eyes. The facility failed to provide a safe medication administration system to ensure the Alleged Victim’s (AV) medications were administered as ordered, which is considered neglect of care and constitutes abuse.
Sanction
RCFCP26-00215 $1000.00 fine assessed