Violation Details: 00258248-AP-213542

Records Request Print
Date
10/5/2021
Report number
00258248-AP-213542
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
411-054-0025(1)(a) and (b)
411-054-0027(1)(g)
411-054-0028(2)
411-054-0055(1)(a) and (f)
Findings
Amended 4/29/25 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 as to why. AP2 destroyed narcotic medication with no explanation as to 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'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 Alleged Perpetrator 4 (AP4) neglected AV was determined to be inconclusive.
Sanction
RCFCP24-00715 $375.00 fine assessed