Violation Details: 00258243-AP-213535

Records Request Print
Date
10/5/2021
Report number
00258243-AP-213535
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
Amended April 23. 2025 Alleged Victim (AV) had his/her narcotic pain medication go missing on or about October 5, 2021. Based on facility documentation and interviews, the facility failed to provide oversight to AV's narcotic pain medication which resulted in AV's narcotic medication being stolen. 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. Alleged Perpetrator 2 (AP2) allegedly financially exploited AV. An investigation inconclusively determined no abuse occurred by AP2. After re-evaluation, the allegation that the Alleged Perpetrator 4 (AP4) neglected AV was determined to be inconclusive.
Sanction
RCFCP24-00716 $375.00 fine assessed