Violation Details: 00448553-AP-400602a

Records Request Print
Date
1/5/2026
Report number
00448553-AP-400602a
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
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 manage their medications. According to an investigation, the AV's medications were not ordered timely resulting in the AV missing three doses of the medication. The missed doses resulted in side effects and discomfort for the AV. The allegation that Alleged Perpetrator 2 and Alleged Perpetrator 3 neglected the AV by failing to follow facility medication re-order procedures was not substantiated. The facility failed to provide a safe medication administration system, which is a violation of resident’s rights, is neglect of care, and constitutes abuse.
Sanction
RCFCP26-00620 $250.00 fine assessed