Print Violation: 00114003-AP-088010

Provider Information

Desire For Healing Inc

44882 MISSION RD
Pendleton, OR 97801

Date: 11/30/2020
Report number: 00114003-AP-088010
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
Rule(s) Violated: External site: 411-054-0028 (2)
External site: 411-054-0055 (1)(a) and (f)
Findings: The facility is responsible for providing a system that prevents theft or misuse of medication. On or about November 30, 2020, the facility had conducted an audit in which it was discovered that there were liquid narcotics discrepancies and multiple bottles had narcotics unaccounted for. It was also discovered that narcotic pain pills were signed off as being administered twelve (12) times in a period of five days. Eight (8) out of the twelve (12) times, the medication was signed off by Alleged Perpetrator 2 (AP2). Alleged Victim (AV) reported that he/she had not received the eight (8) pills from AP2. AP2’s actions are considered financial exploitation and constitutes abuse. AP1 failed to provide a system that prevents theft or misuse of medication, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP21-02015 $188.00 fine assessed