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Summary of Investigation
COMMUNITY PROVIDER
Case Number: E1407052 Waiver: Main Waiver DIDD Investigator: Suzanne
Scroggins
Agency Responsible: Orange Grove Center
Date: 8/19/2014
I. Initial Allegation(s):
It was reported that the person supported was prescribed PRN medication
Tramadol, due to back pain on 7/17/14. The House Manager, C C., turned in
the prescription to the agency health department, but did not follow up to ensure
that the medication had been filled. The medication order was not filled and
obtained until 7/29/14. It was reported that the person supported suffered back
pain during this time period and did not attend the day center because he said he
could not walk, due to his back pain.
II. Conclusion(s):
The preponderance of evidence does not support the allegation of neglect in that
the person supported did not suffer physical harm and/or mental anguish by not
receiving his PRN medication as prescribed on 7/17/14. The allegation is
unsubstantiated.
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c. Verification that the staff person(s) investigated was notified of the
outcome of the investigation.
3. It is recommended that the Provider or Private ICF/IID email the response
and plan of correction to DIDDINVPOC.East@tn.gov within fourteen (14)
calendar days from the release of this report. The release date is the day
the Office of Investigations forwarded the report to the Provider via email.
4. A response to any incidental findings noted by the investigator shall be
included.
B. For unsubstantiated investigations, it is recommended that the Provider or
Private ICF/IID develop a response (do not submit to DIDD) to include:
1. Verification that the staff person(s) investigated was notified of the
outcome of the investigation;
2. If the incident was not reported to DIDD in a timely manner (as noted in
this final investigation report, section IV.B.), what has been done to
address late reporting; and
3. Verification that all incidental findings were addressed.
V. Incidental Findings:
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Reportable Staff Misconduct, failure to follow treatment plan for
is appropriate in this case.
Per the DIDD Provider Manual, Chapter 7, 7.4.8.b, for Community Providers and Private
ICF/IID or the Protection from Harm ICFs/IID Policy 100.1.1., VI.K.8 for DIDD ICF/IID
Facilities, the summary of this investigation should be discussed with the person(s)
supported within fifteen (15) business days of the receipt of the report. If a legal
representative has been appointed, that person should be invited to participate in this
discussion. The space below has been provided for your convenience as a means by
which for you to document the fulfillment of this requirement.
Printed Name
Witness:
Printed Name