- Date
- 11/20/2020
- Report number
- 00115813-AP-089551
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- Alleged Victim (AV) relies on the facility to administer his/her medication. On or about October 22, 2020, AV received a refill of his/her Oxycodone for 60 tables. On or about November 18, 2020, 12 tablets of AV’s Oxycodone were reported unaccounted for. The facility did not have a system to audit narcotic books prior to November 14, 2020, and the policy for checking-in narcotic medication was not being followed. Alleged Perpetrator 2 (AP2) assumed primary responsibility for medication administration, destroying medication as needed, ordering medication, and documenting in the NARC books. AP2 and the facility failed to provide a safe medication administration system, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- ALFCP22-00999 $500.00 fine assessed