Failure to Fully Investigate Alleged Provision of Illegal Substance to Resident
Penalty
Summary
The facility failed to fully investigate and implement measures to address an allegation that a visitor provided an illegal, unapproved substance to a resident with a history of substance abuse. The resident, who had diagnoses including opioid dependence and was receiving medication-assisted treatment for addiction, reported to the facility that a friend working for a transportation company gave them a marijuana-infused brownie. The resident's cognitive status was assessed as intact, and their care plan documented their substance abuse history and ongoing treatment. Upon learning of the incident, the facility contacted the transportation company, which denied having a driver by the name provided by the resident. After receiving this denial, the facility ended its investigation without further action. The facility's policy required prompt initiation and documentation of investigations into accidents or incidents, but the investigation was not pursued beyond the initial inquiry with the transportation company.