F0600

J

Staff Provision of Methamphetamine to Resident with Substance Use Disorder History

Moberly, Missouri Survey Completed on 02-19-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to protect a resident from abuse and to maintain an illegal drug‑free environment when a housekeeper provided methamphetamine to a resident on multiple occasions. The resident had a documented history of severe methamphetamine use disorder, antisocial personality disorder, major depressive disorder, prior incarceration, homelessness, multiple suicide attempts, and recent methamphetamine intoxication with psychiatric hospitalization. The resident’s care plan identified stimulant dependence, substance abuse, paranoia/suspiciousness, suicidal ideation and attempts, and a history of possession charges and incarceration, with planned interventions including monitoring for cravings and relapse warning signs, encouraging participation in recovery programs, teaching coping skills, and assessing the resident for safety. Facility policies on Abuse and Neglect, Illegal Drug Use, and Code of Conduct clearly prohibited abuse, illegal drug use, possession, or distribution on the premises and required staff to refrain from illegal conduct.

According to interviews and record review, the resident reported that three to four weeks before the incident he/she entered a resident shower/bathroom and observed Housekeeper N smoking methamphetamine from a glass pipe. The resident stated that seeing the staff member using methamphetamine triggered a desire to use again. Approximately one week later, the resident approached Housekeeper N and asked for methamphetamine. The resident reported that over a two‑week period, Housekeeper N brought him/her methamphetamine in three to four small plastic bags, delivered to the resident’s room on multiple occasions, and that the last time he/she received methamphetamine from this staff member was on a Sunday identified as 02/08/26. The resident acknowledged having paraphernalia in his/her room, including a straw and clear bags, and voluntarily disclosed their location to facility administration and law enforcement.

On the date of a scheduled surgery, the resident underwent a urine drug screen at a pre‑operative appointment and tested positive for methamphetamine, resulting in the cancellation of the surgery. Progress notes documented that upon return to the facility the resident was very tearful, and the facility was notified that the positive test was for methamphetamine. The resident’s emergency contact reported to Social Services that the resident had told him/her a facility employee, identified as Housekeeper N, had provided methamphetamine, and during a visit the resident pointed out this staff member as the source of the drugs. In the facility’s investigation, the resident gave a statement that only this staff member had provided methamphetamine four to five times over a two‑week period, while Housekeeper N denied giving drugs but admitted to recent methamphetamine use and refused drug testing. Baggies and paraphernalia were found in the resident’s room, and the facility concluded that staff providing a resident with illegal substances constituted abuse, substantiating that abuse occurred.