- Date
- 8/4/2017
- Report number
- BH173252
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- The facility failed to provide clear guidance to staff on who is responsible for discontinuing a Warfarin dosage and when it should occur. This resulted in a resident receiving incorrect dosages of Warfarin.