- Date
- 11/29/2021
- Report number
- 00172112-AP-136586
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- Amended April 23, 2025:
Alleged Perpetrator 2 (AP2) wrongfully took Alleged Victim's (AV) narcotic pain medication. Based on facility documentation and interviews, AP2 crossed out numbers on AV's narcotic logs and wrote lower numbers with no explanation why. AP2 destroyed narcotic medication with no explanation why. AP2 financially abused AV by taking AV's narcotic pain medication. It is unknown how many pills were stolen by AP2 due to missing documentation and inaccurate documentation. AP2's actions is considered financial exploitation which constitutes abuse. The facility failed to provide supervision and oversight of the narcotic logs resulting in AP2 stealing narcotic pain medication from AV. The facility's failure is a violation of resident residents, is considered neglect of care which constitutes abuse. Alleged Perpetrator 3 (AP3) allegedly financially exploited AV. An investigation determined no abuse occurred by AP3. After re-evaluation, the allegation that the AP4 neglected AV was determined to be inconclusive.
- Sanction
- RCFCP24-00718 $375.00 fine assessed