- Date
- 1/5/2026
- Report number
- 00449381-AP-401310
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) relies on the facility to manage their medications, including reordering medications in a timely manner. According to an investigation, the AV was not administered their psychotropic medication on or about 12/2/2025, 12/3/2025, 12/4/2025 and 1/5/2026 because it had not been reordered and was not available. The AV experienced headaches and increased anxiety as a result. The allegation that Alleged Perpetrator 2 AP2 and Alleged Perpetrator 3 AP3 neglected the AV was investigated and determined to be inconclusive. The facility failed to maintain a safe medications system and administer AV’s medication as ordered, which is a violation of resident’s rights, is neglect of care, and constitutes abuse.
- Sanction
- ALFCP26-00137 $500.00 fine assessed