- Date
- 7/24/2024
- Report number
- 00344301-AP-294814
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failure to provide a system that prevents theft or misuse of medication
- Result
- Substantiated
- Findings
- Alleged Victim (AV) relies on the facility to administer and store his/her medications. Witness 1 (W1) noticed AV’s (narcotic pain medication) bottle seemed lower than the last time W1 viewed the bottle, three (3) days prior. The bottle came overfilled from the pharmacy, and AV had only received one (1) 0.25mL dose from this bottle. The dose given was a PRN and this bottle is not in regular daily use, and after that dose, the medication was still above the 30mL line. The facility has not implemented any procedures to track the overage in the (narcotic pain medication) bottle. When viewed by additional staff, others agreed that AV’s (narcotic pain medication) bottle looked slightly different from previous observations, even though no additional doses had been given. It is believed that an unknown Alleged Perpetrator 2 (AP2) may have wrongfully taken the medication. AP2 failed to prevent theft of AV’s medication, which is neglect of care and constitutes abuse. The facility failed to provide a system that prevent theft of AV’s medication, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- ALFCP25-00082 $188.00 fine assessed