Violation Details: 00423577-AP-375047

Records Request Print
Date
7/29/2025
Report number
00423577-AP-375047
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), 411-054-0027(1)(g) and (s), 411-054-0028(2), 411-054-0055(1)(a) and (f)
Findings
The Alleged Victim (AV) relies on the facility to administer his/her medications. According to an investigation, on or about July 29, 2025, it was discovered AV did not have hypertension medication as ordered. Between July 28, 2025, and August 5, 2025, AV missed multiple doses of the prescribed medication when it had not been reordered, resulting in AV's legs becoming very swollen, discolored and causing AV discomfort. The facility failed to provide a safe medication administration system, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP25-01047 $250.00 fine assessed