- Date
- 2/10/2022
- Report number
- 00184654-AP-147036
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- The facility failed to provide a safe medication administration system to ensure the Alleged Victim’s (AV) medication was available to be administered as ordered. According to an investigation, Alleged Perpetrator 3 (AP3) was notified about concerns of theft and failed to conduct any audits, which resulted in AV being financially exploited, by way of theft. Alleged Perpetrator 4 (AP4) and Alleged Perpetrator 7 (AP7) failed to ensure adequate oversight of the medication system, which resulted in AV being financially exploited, by way of theft. AP3, AP4, and AP7’s actions are considered neglect and constitutes abuse. The facility’s failure is a violation of resident rights, is considered neglect of care and constitutes abuse. The allegation that Alleged Perpetrator 5 (AP5), Alleged Perpetrator 6 (AP6) and Alleged Perpetrator 8 (AP8) failed to ensure adequate oversight of the medication administration system was investigated, and determined no abuse occurred.