- Date
- 2/10/2022
- Report number
- 00185592-AP-147825
- 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) and Alleged Perpetrator 7 (AP7) failed to ensure adequate oversight of the medication system, which resulted in theft of AV's medication. 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.
- Sanction
- ALFCP22-01136 $1000.00 fine assessed