Violation Details: 00433403-AP-385400

Records Request Print
Date
10/14/2025
Report number
00433403-AP-385400
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
On January 21, 2026, ODHS Adult Protective Services (APS) completed investigation #00433403 and issued a written investigation report, which is incorporated here by reference. Alleged Victim (AV) lived at Respondent’s facility. Based on facility documentation and interviews, on or about October 14, 2025, AV ran out of his/her restless leg syndrome medication and was without this medication until October 17, 2025. The facility is responsible for managing AV’s medications, including monitoring supply levels and ensuring timely reordering. Based on facility documentation and staff interviews, the facility did not order AV’s medication for restless leg syndrome in a timely manner, resulting in missed doses, causing AV unnecessary pain and discomfort which is a violation of resident's rights, is considered neglect of care, which constitutes abuse.
Sanction
RCFCP26-00130 $450.00 fine assessed