- Date
- 1/11/2025
- Report number
- 00377431-AP-327865
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- On January 12, 2026, ODHS Adult Protective Services (APS) completed investigation #00377431 and issued a written investigation report, which is incorporated here by reference. On or about January 9, 2025, the Alleged Victim (AV), who resides at the Respondent’s facility, requested their prescribed opioid pain medication. Facility staff are responsible for administering AV’s medications as ordered by the prescriber. Based on a review of facility documentation and staff interviews, it was determined that the facility had run out of AV’s prescribed opioid pain medication on the date of the request. As a result, the medication was unavailable when AV requested it. Facility records indicate that AV reported a pain level of 8 out of 10 on January 9, 2025. In response, staff administered an over-the-counter pain medication, which was documented as ineffective in relieving AV’s pain. The investigation concluded that the facility failed to maintain a safe and effective medication administration system, resulting in AV not receiving their prescribed opioid PRN medication. This failure caused AV to experience pain and unreasonable discomfort due to the lack of appropriate pain management, which is a violation of resident rights, is considered neglect of care and constitutes abuse
- Sanction
- RCFCP26-00128 $1500.00 fine assessed