Violation Details: 00421228-AP-372663

Records Request Print
Date
8/12/2025
Report number
00421228-AP-372663
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: 411-054-0055(1)(a) and (f)
Findings
On August 20, 2025, ODHS Adult Protective Services (APS) initiated investigation #00421228 and issued a written investigation report, which is incorporated here by reference. Alleged Victim (AV) lived at Respondent’s facility. The facility failed to ensure a safe medication administration system to ensure that the Alleged Victim (AV) received his/her prescribed diuretic medications as ordered. The facility's failure to provide a safe medication system caused AV unreasonable discomfort and increased shortness of breath, is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP26-00027 $375.00 fine assessed