- Date
- 11/18/2020
- Report number
- 00115850-AP-089591
- 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. AV was prescribed Tramadol and Oxycodone for pain receive. On or about November 18, 2020, 11 of AV’s prescribed Tramadol tablets and 61 of AV’s prescribed Oxycodone tablets were reported unaccounted for. Alleged Perpetrator 2 (AP2) assumed primary responsibility for medication administration, destroying medication as needed, ordering medication, and documenting in the NARC books. The facility did not have a system to audit narcotic books prior to November 14, 2020. 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
- ALFCP22-00991 $500.00 fine assessed