Case Database
Filter every documented case by date, drug, state, setting, role, prosecution status, and penalty. Search accepts brand or generic drug names, facility names, and cities.
Showing 14 of 730 cases.
| Case / When | Where | Setting | Drug | Method | Role | Prosecution status | Penalty | Source |
|---|---|---|---|---|---|---|---|---|
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Registered nurse removed fentanyl from medication safe without order or documentation and failed to document controlled substance administration/wasting; license revoked
2026-04
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Oregon | Grants Pass Surgery Center, Hearthstone Nursing and Rehabilitation Center, Bay Area Hospital | fentanyl, oxycodone, hydromorphone, alprazolam, lorazepam, tramadol | removed fentanyl from a medication safe without a written order or documentation; failed to document administration or wasting of controlled substances; wasted oxycodone without allowing a witness to verify the medication; delayed wasting of controlled substances | not stated | Registered nurse license revoked | none documented | source |
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Registered nurse alleged to have obtained controlled substances from a Texas pharmacy using unauthorized prescriptions and co-worker prescriber numbers
2026-02
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Oregon | Pharmacy | Zolpidem Tartrate, Eszopiclone, Acetaminophen-Codeine #3, Guaifenesin-Codeine, Butalbital-Acetaminophen-Caffeine, and Hydrocodone | Alleged to have obtained these medications from a pharmacy in Texas, for themself and a family member, through the use of unauthorized electronically communicated prescriptions, using the names and Drug Enforcement Administration numbers of three co-worker prescribers. | not stated | Stipulated Order for Probation; license placed on probation, with a 24-month period of probation to begin upon return to supervised nursing practice. Any monitored practice completed in Texas in compliance with the Texas Board of Nursing order counts toward the 24 months. | none documented | source |
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Portland Veterinarian Diverted Controlled Substances, Replaced with Saline
2026-01-20
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Oregon Portland, Oregon |
Two veterinary clinics, Portland, OR | Hydromorphone, buprenorphine, butorphanol | Personal use + saline refills; 200+ animals affected | not stated | Sentenced Jan 13, 2026 — 60 months probation; DEA registration surrendered | none documented | source |
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Registered nurse stole fentanyl vials at work and altered medication logs to conceal theft
2025-09
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Oregon | workplace | fentanyl 100 mcg/2 mL (255 vials) | Stole 255 vials of fentanyl 100 mcg/2 mL and altered medication logs attempting to conceal the theft; tested positive for fentanyl on a for-cause drug screen at work; pleaded guilty and was convicted in federal court of felony acquiring or obtaining possession of a controlled substance by misrepresentation, fraud, forgery, deception or subterfuge. | not stated | License placed on 36-month probation; terms include no access to narcotics or controlled substances; Board order. | none documented | source |
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Registered nurse diverted and abused controlled substances from places of employment
2025-06
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Oregon | places of employment | controlled substances | diverted controlled substances from places of employment and abused those controlled substances; failed to answer truthfully about drug diversion and substance abuse during license renewal and a Board investigation; medication documentation discrepancies including delays, wasting full packages instead of returning them, failing to document administrations, logging out medications hours early, unaccounted medications, and documenting administration before logging out | not stated | Suspension with conditions followed by probation; licensee admitted the allegations | none documented | source |
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Registered nurse obtained Vyvanse from workplace without authorization and self-administered
2025-05
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Oregon | Their workplace (as stated in the source) | Vyvanse (generic equivalent) | obtained a generic equivalent to Vyvanse from their workplace without a medical order and without authorization; took it home and administered it to themselves | not stated | registered nurse license placed on 36-month probation; admitted allegations | none documented | source |
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Registered nurse admitted obtaining and consuming oxycodone without a prescription and had controlled-substance administration and documentation errors involving two patients; voluntarily surrendered license
2025-03
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Oregon | Practice | oxycodone, opioids | Admitted obtaining and consuming oxycodone without a prescription; employer reported controlled-substance administration and documentation errors for two patients, and the licensee could not account for what medications were administered or why documentation was made; also admitted administering medication to a patient without a provider order and later admitted obtaining and consuming two oxycodone pills. | not stated | Voluntary surrender of registered nurse license accepted; may apply for reinstatement after a minimum of three years. | none documented | source |
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Registered nurse removed propofol from workplace for personal use
2025-01
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Oregon | workplace/facility | propofol; narcotic medication | removed narcotic medication from her place of employment for personal use; pharmacy audit records showed multiple bottles of propofol were prematurely replaced; documentation audit showed several unaccounted propofol bottles; acknowledged removing medication from the facility for personal use to address sleeping issues | not stated | Stipulated Order for Probation; license placed on probation; prohibited from access to narcotics or controlled substances without written approval | none documented | source |
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Registered nurse alleged to have diverted IV Dilaudid from a worksite an automated dispensing cabinet by logging it out and pocketing it
2025-01
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Oregon | worksite with an automated dispensing cabinet system | IV Dilaudid | Alleged diversion of IV Dilaudid: logged out IV Dilaudid but did not administer it for more than an hour; logged out IV Dilaudid but did not waste it for more than an hour; logged out IV Dilaudid and put it in a pocket; documented administering IV Dilaudid when it was not administered; administered IV Dilaudid but did not document it for approximately two days; failed to document a pain assessment; carried medications in pockets and failed to waste controlled substances at the time of removal from an automated dispensing cabinet. | not stated | RN license placed on probation for 24 months within 36 months, with monitored practice and education conditions. | none documented | source |
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Former nurse accused of replacing fentanyl with tap water in IV drips at Oregon hospital
2024-09
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Oregon Medford, OR |
Asante Rogue Regional Medical Center | fentanyl | accused of replacing prescribed fentanyl with nonsterile tap water in intravenous drips; police investigation into theft and misuse of controlled substances that resulted in patient infections; hospital officials believed an employee had been diverting fentanyl | not stated | civil wrongful death and medical malpractice lawsuit filed against the hospital; the former nurse was arrested in June and charged with 44 counts of second-degree assault and has pleaded not guilty | none documented | source |
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ICU nurse accused of diverting patients' liquid fentanyl and replacing it with tap water at a Medford, Oregon hospital
2024-06
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Oregon Medford, OR |
Asante Rogue Regional Medical Center | liquid fentanyl | Allegedly diverted patients' liquid fentanyl for personal use and replaced it with nonsterile tap water, which was linked to central line infections; police said the charges reflect the number of patients affected. | not stated | Arrested and charged with 44 counts of second-degree assault; the nurse had voluntarily agreed in November 2023 to a nursing license suspension pending completion of an investigation and had left the hospital in July 2023. Indicted by a Jackson County grand jury on the 44 second-degree assault counts; trial was set for September 2026. A related civil lawsuit seeking $11 million in damages alleges the tap-water substitution caused at least two patient deaths. | none documented | source |
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Oregon registered nurse accused of pulling narcotics and failing to document administration or wastage
2024-03
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Oregon | Oregon licensee (reciprocal action reported by the Washington State Department of Health) | narcotics | allegedly pulled narcotics and failed to document their administration or wastage | not stated | charged with unprofessional conduct | none documented | source |
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Registered nurse diverted and consumed Oxycodone on-shift in cardiac surgery unit
2023-10
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Oregon | PeaceHealth of Riverbend Medical Center | Oxycodone | diverted and consumed Oxycodone while working on-shift; disclosed to the Board | not stated | voluntarily surrendered registered nurse license | none documented | source |
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VA Hospital Pharmacy Technician Sentenced for Stealing Oxycodone and Other Narcotics — Oregon, 2013
2013-01-31
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Oregon Roseburg, Oregon |
Roseburg VA Medical Center pharmacy, Roseburg, OR | Oxycodone, clonazepam, zolpidem, and OxyContin | Manipulated the pharmacy's narcotics tracking/dispensing system to divert pills | not stated | Sentenced to 24 months in federal prison | $23,475 (restitution) | source |
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What each column does and doesn't cover
Every case states When (date) and Where (state) — 730 of 730. Beyond that, a blank cell means the source record does not state that fact, not that it did not happen:
- Setting: stated in 649 of 730 cases (89%)
- Drug: stated in 657 of 730 cases (90%)
- Method: stated in 474 of 730 cases (65%)
- Prosecution status: stated in 474 of 730 cases (65%); a documented penalty (fine, settlement, or restitution) exists for 77 of 730 cases (11%)
- Role: stated in only 255 of 730 cases (35%) — filtering or sorting by role silently hides the rest of the registry, which may still describe the same role in prose without a structured field
Why: documented failure modes
A separate text analysis of the 723 case summaries found 371 cases (51.3%) matching at least one named failure-mode pattern below. 352 cases (48.7% of 723) matched none of these categories - most of these are short board-order summaries ("licensee diverted controlled substances from their employer") that state an outcome without describing a mechanism, not cases where no failure occurred. A case can match zero, one, or several categories — these are corpus-level counts, not a per-case tag, and are not used as a row filter above: reproducing the exact category membership per case from the stored patterns did not exactly match this file's hand-curated counts on independent re-check, so no individual case here is labeled with a "why" that this code cannot verify.
Text names an act of replacing/refilling the drug with a named substitute (saline, water, an OTC pill, a cleaning product, etc.), OR uses swap/dilute/tamper to describe the same act, so the altered container went back into use looking unchanged.
Text uses stole/stealing/embezzled to describe removal of controlled substances.
Text uses a form of "falsif-" within 60 characters of a record-type noun (chart, inventory, transaction, receipt, prescription, etc.).
Text explicitly characterizes the prescription(s) as fraudulent, forged, invalid, or issued outside legitimate medical practice (including "pill mill" language).
Text names an automated dispensing cabinet/machine, or the acronym ADC, as part of the mechanism.
Text describes recording or claiming drug as "waste" (when it was not), pulling drug from a waste stream, or wastage that was not independently witnessed.
Text describes cancelling, voiding, or falsely entering a system transaction (an order, a return-to-stock entry, a cancel entry) specifically to conceal a removal.
Text states the FACILITY (not an individual concealing personal use) failed to maintain required inventory/records, or names a recordkeeping violation/negligent recordkeeping as the basis for the government action.
Text describes using a fictitious patient profile, a false name/identity, stolen patient information, or impersonating a licensed prescriber to obtain the drug.
Text states a failure to notify or report a loss, theft, or suspected diversion to a regulator.
Disclaimer
Case summaries are based on public records (DOJ press releases, court documents, news reports). Charges are allegations unless a conviction is noted. Analysis is educational, not legal advice.
Last reviewed: September 2026 · Content is educational, not legal advice.