September 21, 2021 - Spectrum failed to comply with its medication management policy when the executive director of its Babbitt Carefree Living facility (Facility) destroyed one of M.A.s medications without first discussing with M.A. or M.A.’s hospice team. This failure contributed to the unnecessary suffering of M.A., who required the medication when experiencing a seizure. Thus, Spectrum neglected M.A. and is responsible for maltreatment. The level three fine of $3,000 for the failure to implement the Facility’s medication management policy is appropriate. But, because the evidence does not establish that the maltreatment resulted in death, the $5000 fine for the second violation should be reduced to $1,000.