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I would say yes, VNA count pills. The agency I worked for did our clients pill planners weekly. DEA controlled drugs can only be refilled once a month with a prescription on file. You take too many, you can't get a refill until the 30 days are up.

What I would do is bring it to the Visiting Nurses attn and let her handle it. But, she will know that her client is missing pills and if she doesn't, this is a problem in itself.
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Reply to JoAnn29
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tel:1-800-662-4357
https://www.samhsa.gov/find-help/helplines/national-helpline

These contact sources will help you to determine the best direction. It is a USA website. If it is an urgent situation 911 is best.
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Reply to AMZebbC
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If you know of any other relative that your neighbor has, I would be contacting them to make them aware of the situation and maybe step in to help (if they exist, and are willing).

Is the daugher your neighbor's PoA? If not, she has no legal ability to be inserting herself into her parent's life -- unless the parent is cogent and is allowing it.

Can you ask your neighbor about any other relatives?

How old is your neighbor?
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Reply to Geaton777
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Call APS. It is definitely serious problem for daughter not to mention her father perhaps being deprived of medication he needs.
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Reply to Evamar
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Thanks for your comments. We’ve been neighbors for 30 years. The daughter has episodes without her fix and has asked me if I had any opiates. Then she freaked out when his nurse started coming to the house. She was paranoid they would count pills and she’d be caught. She gets 100 Norcos from her back doctor per month. She uses them up within 14 days which leaves her without the rest of the month. I was afraid this would happen when her dad declined. I would never say anything if I had a doubt. These are very serious accusations . But can be proven.
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SnoopyLove Feb 8, 2026
Definitely call APS!
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Thanks for your comments. We’ve been neighbors for 30 years. The daughter has episodes without her fix and has asked me if I had any opiates. Then she freaked out when his nurse started coming to the house. She was paranoid they would count pills and she’d be caught. She gets 100 Norcos from her back doctor per month. She uses them up within 14 days which leaves her without the rest of the month. I was afraid this would happen when her dad declined. I would never say anything if I had a doubt. These are very serious accusations . But can be proven.
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Reply to Roxy2Roxy
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ty for your input. More background… she asked me to watch her dad while she went to a ‘friends’ to get loaner pain med for herself. Then she asked if visiting nurses count pills. Sh also had a bought of hysteria that all the neighbors could hear. She was threatening to kill herself bu jumping her roof into the backyard pool. I’ve known this person for 20 plus years. She self medicates. I’m t
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ShirleyDot Feb 8, 2026
It sounds like he is not safe being cared for by his daughter and needs to be moved into a facility. It won't be great for him but he should not be suffering in pain at home. It's unlikely he will admit this is happening if there is an intervention and it will make them both hate you for reporting it.
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Better be 110% positive this is going on before you insert yourself into it. It could result in something really ugly really quickly.

You're a neighbor, not a family member, so it's a tricky situation.
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Reply to Midkid58
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I also would find out if it is a delusion or real. If real you need to report it.
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Reply to JustAnon
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How do you know this? Is your neighbor telling you this information? If so, does this person have cognitive impairment? Do they have "chemo brain"? If so, it is possible they are confabulating this story.

I guess reporting to APS is the only option.
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Reply to Geaton777
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Yes!!! Report it.
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Reply to Hrmgrandcna
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Call Adult Protective Services and report this.
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