Cerenity Care Center Marian St Paul Neglect Substantiated

Written By: Kenneth LaBore | Published On: 8th March 2015
Cerenity Care Center Marian St Paul Medication Theft Drug Diversion

Cerenity Care Center Marian St Paul Medication Theft Drug Diversion

Cerenity Care Center Marian St Paul Theft of Medications from Several Clients

In a report dated January 3, 2017, it was alleged by the Minnesota Department of Health that serveral clients (#1, #2, #3, #4, #5, #6, #7, #8, and #9)  of Cerenity Care Center Marian St Paul were financially exploited when the alleged perpetrator (AP) took the clients’ narcotic medications from his/her own personal use.

Cerenity Care Center Marian St Paul Substantiated Abuse – Drug Diversion

Based on a preponderance of the evidence, financial exploitation occurred with the alleged perpetrator (AP) took medications from nine clients for his/her own personal use.

All nine clients services from the home care provider for medication administration according to their service agreement and care plans.  Client #1 had a physician’s order for tramadol hydrochloride 50 milligrams (mg) and physician’s order for oxycodone 5 mg.  Client #2 had a physician’s order for tramadol hydrochloride 50 mg.  Client #3 had a physician’s order for hydrocodone/APAP 5/325 mg.  Client #4 had a physician’s order for oxycodone/APAP 5/325 mg and physician’s order for hydrocodone/APAP 5/325 mg.  Client #5 had a physician’s order for hydrocodone/APAP 5/325 mg.  Client #6 had a physician’s order for hydrocodone/APAP 5/325 mg.  Client #7 had a physician’s order for hydrocodone/APAP 5/325 mg.  Client #8 had a physician’s order for tramadol hydrochloride 50mg.  Client #9 had a physician’s order for tramadol hydrochloride 50 mg.

Observations conducted during the onsite visit revealed clients’ controlled substance medications are centrally stored doubled locked in a medication care in the nurses’ station.  Only licensed staff are allowed to administer the controlled substance medications and only licensed staff have a key to access the controlled substance medications.  The was one set of keys belonging to licensed staff that were exchanged at shift change, and staff also double count the controlled substance medications at shift change.  At the time of the incident, the home care provider’s policy required one licensed staff to receive and sign for controlled substance medications that were delivered from the pharmacy.  Since the incident, two licensed staff receive and sign for controlled substance medications that are delivered from the pharmacy.  In addition, at the time of the incident, any two licensed staff could destroy and document medication destructions.  Since the incident, only two dedicated registered nurses destroy and document medication destructions.

A registered nurse received reports from two staff indicating that a quantity of tramadol hydrochloride were missing from the medication cart on the fourth floor.  The nurse investigated and concluded one card of tramadol was missing.  S/he also noted that the narcotic medication book appeared to contain places where his/her signature had been forged at places where two signatures were required for destruction of medications.  Each time his/her signature did not appear authentic, the second signature was the AP.  Review of the packing slips from the pharmacy also showed discrepancies between the amount delivered and the amount added to the inventory in narcotic books; for all nine clients, there were instances where some of the medications signed for by the AP on the packing list were not added to the inventory in the narcotic books.  These discrepancies totaled around 1554 tablets over a period of three months, and involved tramadol, oxycodone, and hydrocodone with acetaminophen.

The AP was interviewed with police present and admitted to taking the missing medications from the clients.  Police forwarded their findings to the county attorney for charging.

Cerenity Care Center Marian St Paul – Report Suspected Abuse and Neglect

Click Here For Link To Report Abuse To Adult Protection

Click Here For Link To Report Abuse To Adult Protection

For more information from the Minnesota Department of Health, Office of Health Facility Complaints concerning nursing homes, assisted living and other elder care providers view resolved complaints at the MDH website.

If you have concerns about any form of elder abuse or neglect contact Minnesota Elder Abuse Attorney Kenneth LaBore toll free at 612-743-9048 or toll free at 1-888-452-6589 or by email at KLaBore@MNnursinghomeneglect.com.

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Free Consultation on Issues of Elder Abuse and Neglect Serving all of Minnesota Toll Free 1-888-452-6589

Free Consultation on Issues of Elder Abuse and Neglect Serving all of Minnesota Toll Free 1-888-452-6589

 

Neglect of Supervision

Neglect of Supervision, Cerenity Care Center Marian St Paul

Cerenity Care Center Marian St Paul Complaint Findings for Neglect

In a report concluded on April 30, 2013, the Minnesota Department of Health cites Cerenity Care Center Marian St Paul for neglect of supervision.

It is alleged that neglect occurred when a resident was not adequately supervised and eloped from the facility.

Substantiated Cerenity Care Center Marian Neglect of Supervision

Based on a preponderance of evidence, the allegation that a resident was not adequately supervised and eloped from the facility is substantiated.  The facility staff failed to monitor the resident completing rounds during the night shift.

The resident was severe short term memory impairment due to a traumatic brain injury.  The resident is able to ambulate independently but is unable to identify safety risks.  The resident would frequently walk the hall and require redirection back to his room.

For more information from the Minnesota Department of Health, Office of Health Facility Complaints concerning nursing homes, assisted living and other elder care providers view resolved complaints at the MDH website.

If you have concerns about negligent supervision or any other form of elder abuse or neglect contact Elder Abuse and Neglect Attorney Kenneth LaBore at 612-743-9048 or toll free at 1-888-452-6589 or by email at KLaBore@MNnursinghomeneglect.com.

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