- Date
- 12/21/2016
- Report number
- DL179334
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- RV1 had been prescribed a medication in syrup form. The syrup had been discontinued and replaced with the same medication in sprinkle form. The MAR did not reflect the syrup being discontinued and RV1 was given the medication in both forms for a period of 10 days before being discovered.