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Hospice Nurse Indicted for Alleged Swap of Dementia Patient’s Pain Medication with Household Cleaner

A disturbing incident has come to light in Massachusetts involving a hospice-care facility and a nurse accused of tampering with a vulnerable patient’s medication. A registered nurse, employed at a long-term care and rehabilitation centre in Amesbury, is facing federal indictment for allegedly siphoning off a terminally ill dementia patient’s prescribed oxycodone and substituting the liquid with a household cleaning agent.

Subhead: Alleged Tampering of Medication for Vulnerable Patient

Court documents reveal that around March 31, the nurse removed the liquid form of the narcotic pain-killer oxycodone from a non-verbal dementia and hospice patient’s prescription bottle using a syringe, and then poured in a household cleaning product in its place. The patient was in hospice care and unable to communicate. Federal authorities say the act represents “tampering with a consumer product … under circumstances manifesting extreme indifference to the risk of death or bodily injury.”

Subhead: Charge, Arrest and Next Steps in the Case

The nurse—who resides in Salem, New Hampshire—was indicted by a federal grand jury on Oct. 30 and arrested the following day. She pleaded not guilty at her initial court appearance. She has been released under conditions: no alcohol, no drug-access employment, random testing, and substance‐abuse treatment enrollment. Her next hearing is scheduled for Nov. 24.

Subhead: Implications for Hospice Care and Medication Safety

This case has raised serious alarm about medication oversight in hospice and dementia care settings. Patients with cognitive impairments are especially reliant on caregivers and medical staff for accurate and safe administration of prescription drugs. Experts warn that substitution of medication—even if the replacement was not administered—poses a grave threat to patient safety and highlights the need for stricter safeguards, transparent auditing, and accountability in long-term care environments.

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