Violation Details: 00137578-AP-108175

Date
4/30/2021
Report number
00137578-AP-108175
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Findings
On or about March 12, 2021, the Alleged Victim (AV) passed away. At the time of AV's passing, AV had medications that he/she was taking, including controlled substances. AV's medications were not disposed of properly by the facility and were left on the cart for over a month. On or about April 30, 2021, Alleged Perpetrator #2 (AP2) removed and consumed medication from the med cart belonging to AV, AP2 was tested and was positive for this medication. AP2's actions are a violation of resident rights, is considered neglect of care and constitutes financial abuse. The facility's failure to provide a safe medication administration system is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP21-02772 $1125.00 fine assessed