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Occurrence Summary Reports for:
COLORADO MENTAL HEALTH INSTITUTE AT PUEBLO-PSYCH
Monday, September 25, 2017 3:35 AM

Facility: COLORADO MENTAL HEALTH INSTITUTE AT PUEBLO-PSYCH
Date of Occurrence: 5/11/2015
Report Timely: No
Type of Occurrence: Diverted Drugs

DESCRIPTION OF OCCURRENCE:
On 05/11/15 staff reported they did not have enough Seroquel to cover all scheduled doses.

FACILITY ACTION:
The facility conducted an internal investigation. The facility notified police and facility personnel. The medication had been prescribed for a male patient, in his 60s. A search for the medication was conducted but it was not found. The facility was not able to determine what happened to the medication. A staff member was given a corrective action for late reporting of the missing medication. The facility will install a camera in the medication room on this unit.

DEPARTMENT FINDINGS:
The Department reviewed the facility's report and supplemental documentation and found that the facility acted appropriately by reporting the occurrence, notifying the appropriate persons and agencies, conducting a search and investigation, giving a corrective action to a staff member for late reporting and installing a camera in the medication room.

The facility failed to report timely and deficient practice was cited. The Department will review this occurrence prior to any survey or upon receipt of any complaint that may be filed against this facility.

Sent to Facility: 6/11/2015

FACILITY COMMENT: Following receipt of the above summary, no additional comments were submitted by the facility.


Released to Public: 6/26/2015

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