- Date
- 8/6/2025
- Report number
- 00420053-AP-371418
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to provide service
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) relies on the facility for care, to include medication administration. According to an investigation, AV was in the hospital after a heart attack and was discharged to the facility on July 31, 2025, with approximately 7 medications that were newly prescribed to AV, to include a blood thinner, a diuretic to decrease inflammation and edema, blood pressure medication, stomach ulcer medication, and a supplement for potassium. AV was not given these new medications until August 7, 2025, missing multiple doses, placing AV at risk for harm and repeated unreasonable discomfort. AV was then transported back to the hospital due to nausea, vomiting, leg edema, and unstable blood pressure and blood sugar. The facility failed to provide services, to include a safe medication administration system to ensure physician orders were followed and coordination of care, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- ALFCP25-00474 $500.00 fine assessed