- Date
- 4/21/2025
- Report number
- 00405935-AP-356944
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- AV resides at AP1 and has a responsibility to provide AV assistance with managing medications and including ordering, storing and administration. AV is prescribed narcotic medications per physician orders. On or about April 21, 2025, it was discovered that 16.75mL of AV's narcotic pain medication was unaccounted for. According to the Narcotic log there should have been 21.5 mL remaining. Only 4mL remained in the bottle. AP1 failed to ensure a safe, adequate medication administration system, which resulted in AV's prescribed narcotics being diverted by an unknown Alleged Perpetrator (AP2). AP2s actions were investigated and determined to be inconclusive. The facility failed to provide a safe medication administration system, which is violation of resident’s rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP25-01155 $250.00 fine assessed