- Date
- 2/10/2022
- Report number
- 00185583-AP-147816
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate 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) narcotic medication was properly monitored, which resulted in theft. According to an investigation, Alleged Perpetrator 3 (AP3) was notified about concerns of theft and failed to conduct any audits, which resulted in theft of AV's medication. Alleged Perpetrator 4 (AP4) failed to ensure adequate oversight of the medication system, which resulted in theft of AV's medication. AP3 and AP4’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), Alleged Perpetrator 7 (AP7), and Alleged Perpetrator 8 (AP8) failed to ensure adequate oversight of the medication administration system was investigated, and determined no abuse occurred.
- Sanction
- ALFCP22-01129 $1000.00 fine assessed