Violation Details: 00417611-AP-368913

Records Request Print
Date
7/31/2025
Report number
00417611-AP-368913
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: 411-054-0036(2)(g)
External site: 411-054-0055(1)(a) and (f)
Findings
The Alleged Victim (AV) relies on the facility to manage his/her medications. According to an investigation, AV did not receive three doses of their narcotic pain medication. AV experienced withdrawal symptoms and two falls, resulting in unreasonable discomfort and bruises. The facility failed to provide a safe medication administration to ensure AV’s medication was available to be administered as ordered, which is a violation of resident’s rights, is neglect of care and constitutes abuse.
Sanction
RCFCP25-01412 $188.00 fine assessed