The Desertion or willful forsaking of an eligible adult by an individual responsible for the care and custody of that eligible adult when a reasonable person would continue to provide care and custody. Nothing in this act shall be construed to mean that an eligible adult it the victim of abandonment because of healthcare services provided or not provided by licensed health care professionals. Abandonment was added to the APS Act in January 2022.

The willful infliction of injury, unreasonable confinement, intimidation or punishment with resulting physical harm, pain or mental anguish. Generally used in conjunction with neglect. Abuse includes physical abuse, verbal abuse, sexual abuse, or harassment, mental or emotional abuse.

A manner of operation that results in an excessive or unreasonable cost to the Federal or State health care programs.

Neglect includes: passive neglect (a non-malicious failure to provide the necessities of life including but not limited to food, clothing, shelter, or medical care), willful deprivation (a willful denial of medications, medical care, shelter, food, therapeutic devices, or other physical assistance to a person who, because of age, health, or disability, requires such assistance and thereby exposes that person to the risk of physical, mental, or emotional harm because of such denial; except with respect to medical care or treatment when the dependent person has expressed an intent to forego such medical care or treatment and has the capacity to understand the consequences).

The misuse or withholding of a member's assets and resources (belongings and money). It includes, but is not limited to, misappropriation of assets or resources of the alleged victim by undue influence, by breach of fiduciary relationship, by fraud, deception, extortion, or in any manner contrary to law.

Serious behavioral health incident that results in emergency treatment-this can include self-neglect, self-injury, property damage, verbal aggression, suicidal ideation, attempted suicide, sexually problematic behavior, uncontrolled problematic alcohol or substance abuse, or any other mental health emergency.

Deaths due to a new or existing medical condition made unusual because they are related to: a treatment error, medication or omission of medication, poor care, or there was a recent allegation of abuse, neglect, or exploitation, or the member was receiving home health services at the time of passing. Any death of an individual occurring within 14 calendar days after discharge or transfer of the individual from a residential program or facility, within 24 hours after deflection from a residential program or facility, at an agency or facility or at any Department-funded site.

Death of a Home and Community Based Service customer that could not have been anticipated or predicted.  Examples include but are not limited to: accidental death, death resulting from suicide, death that occurs in questionable circumstances, resulting from any other unexpected or unknown reason

Involves State, Local or Municipal Law Enforcement - includes problematic possession or use of a weapon, arrest, property damage greater than $50, or other criminal activity. Any illegal activity that is allegedly committed by the waiver participant in which there is law enforcement involvement; Examples include, but are not limited to: arrests, incarceration, criminal court appearances/charges, illegal drug use, and shoplifting. Violation of probation or parole that potentially will result in the revocation of probation/parole. Any criminal offense that is committed by a waiver participant that results in immediate incarceration.

When there is a discrepancy between what a physician prescribes and what an individual actually takes such as an individual taking the wrong medication, which includes taking medication after it has been discontinued or taking the incorrect medication because it was improperly labeled. Could also be due to an individual taking the wrong dose of medication, an individual omitting and not taking a prescribed dose of medication within the 24-hour period of a calendar day, or an individual's refusal to take prescribed medication. Also refers to issues with medication dosage, scheduling, timing, set-up, compliance and administration or monitoring which results in harm or an adverse effect which necessitates medical care. Missing medication (i.e. stolen medication) should also be reported here.

Unauthorized restraint is any manual method, physical or mechanical device, material, or equipment that immobilizes or reduces the ability of a patient to move his or her arms, legs, body, or head freely. Seclusion is defined as placing a person in a locked or barricaded area that prevents contact with others. Confinement means restraining or isolating, without legal authority, a person for reasons other than medical reasons ordered by a physician.

Any recurring injury or illness that requires treatment beyond first aid which included lacerations requiring stitches or staples, fractures, dislocations, loss of limb, serious burns, skin wounds, pneumonia, urinary tract infections, etc. An injury or illness requiring immediate emergency medical treatment to preserve life or limb. An emergency medical treatment that results in admission to the hospital. An emergency medical treatment that results in admission to the hospital.

Medical Emergency: Admission of an individual to a hospital or the provision of emergency medical services (treatment by EMS) that results in medical care which is unanticipated and/or unscheduled for the individual and which would not routinely be provided by a primary care provider

A person who is identified as missing by law enforcement, hospital elopement or leaving against medical advice, staff, family, caretakers, or other natural supports. A person is considered missing if they cannot be located and are lost or in danger.

Unsafe housing is any home or living space which does not provide a safe and healthy environment. Loss of utilities, structurally unsafe, etc. Displacement is the removal of the client from a home or living space due to natural disaster (fire, flooding, tornado, etc.) or eviction. Social environment hazards are the culture that the waiver participant lives in and the people and institutions with whom the waiver participant interacts, would include family, roommates, facility staff and providers.