- Date
- 4/6/2024
- Report number
- 00323783-AP-275355
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to protect resident from financial exploitation
- Result
- Substantiated
- Findings
- Alleged Victim (AV's) Services Plan requires interventions for AV's medication management, as follows: Staff will order, store, and administer medication per doctor's orders. On or about April 06, 2024, during AP2's shift AP2's medication carts were audited, and three of AV's Oxycodone tablets were missing. AP2 signed AV's 3 Oxycodone tablets out at approximately 4:00 PM in the AV's Narcotic Long and AP2's initialed on AV's MAR as administered by AP2 April 06, 2024. AV's April 2024 MAR Chart orders are for 1 Oxycodone at dinner and AP2 signed out 3 tablets. AV never receive AV's Oxycodone tablet from AP2. A search was conducted inside AP2's medication carts that housed AV's Oxycodone and 3 Oxycodone tablets were not found. AP2 was the only staff member who had the key to AV's Oxycodone during AP2's shift, and AP2 could not explain where the missing Oxycodone was. The facility has provided training to AP2 about Resident's Rights having the right to be free from neglect and financial exploitation. As a result of AP2 actions, AV had a loss of 3 Oxycodone tablets, which is considered financial exploitation and constitutes abuse. The facility failed to protect AV from financial exploitation which is a violation of Oregon Administrative Rules.