- Date
- 8/19/2021
- Report number
- 00156516-AP-124085
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failure to provide a system that prevents theft or misuse of medication
- Result
- Substantiated
- Findings
- On or about August 19, 2021, the facility completed an audit of medication and the Alleged Victim's (AV) morphine was found to be diluted. An unknown person, Alleged Perpetrator #2 (AP2) has diluted morphine at the facility, which placed AV at risk for harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to provide a medication system that prevents loss or theft of medication, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP21-03519 $375.00 fine assessed