MADISON – A woman who worked as a nurse practitioner at Heritage of Bel-Air in Norfolk could face prison time for stealing medications prescribed to a patient with a rare disease.

Elvamarie Hins, 58, of Norfolk pleaded guilty Friday to one count of malicious abuse of a vulnerable adult in Madison County District Court. She faces up to three years in prison at sentencing, scheduled for Friday, November 22.

In exchange for Hins’ guilty plea, the Madison County Prosecutor’s Office will not issue a sentencing recommendation at sentencing. Prosecutors also dismissed a charge of possession of oxycodone.

Deputy Madison County Attorney Matthew Kiernan said Hins had access to patient medications at Heritage of Bel-Air and took oxycodone pills prescribed to a sick patient for his own use.

Kiernan said the patient experienced “significant amounts of pain” as a result of being off pain medication.

Another Heritage of Bel-Air employee told the Daily News that Norfolk police were called to the facility on June 4 after staff discovered a patient’s oxycodone had been taken and replaced with a similar-looking drug used for the treatment of nausea.

The patient who was withheld his pain medication had necrotizing fasciitis, a flesh-eating disease, according to the employee.

“So he was screaming in pain and we gave him ondansetron for the nausea and not oxycodone,” the employee said.

That same day, Hins fell asleep while pouring water pitchers and also administered insulin to a patient who did not have diabetes.

According to the Daily News’ source, the director of nursing asked Hins to take a drug test, but Hins refused and resigned.

The source said Hins was in possession of oxycodone when he was questioned by a police investigator.

This year is not the first time Hins has faced consequences for workplace misconduct. According to disciplinary records from the Nebraska Department of Health and Human Services, Hins’ nursing license was suspended from October 2012 to January 2013 for “practicing while (physically) impaired.”

According to DHHS records, Hins had been working at a facility in November 2011 when an employee reported that Hins had been working while physically disabled due to a brain tumor, uncontrolled seizures and insulin reactions related to diabetes.

Hins didn’t show up for work two weeks later. A week later, she told a DHHS investigator that she had insulin-dependent diabetes, a seizure disorder and a brain tumor.

Hins said her doctor performed a biopsy of the tumor and determined it was not cancerous. However, according to DHHS reports, Hins’ medical records did not reference a brain tumor or any form of biopsy.

The doctor at the time prescribed Hins anti-epileptic drugs for weekly seizures that started in January 2011.

Hins was hospitalized in March 2011 for chest pain. In August, she reported having high blood sugar levels for three days in a row.

Furthermore, there was an incident at work in which Hins suffered an incident of hypoglycemia, which prompted the nursing staff to administer glucagon, a hormone that helps regulate blood sugar levels.

Hins’ current practical nursing license is active, but she is facing disciplinary action as a result of her misdemeanor conviction.

Others appeared (or didn’t appear) Friday at the following:

Issuing an incorrect check ($5,000 or more) – two counts

— Daniel A. Emken, 27, Stanton, no-show. District Court Judge Mark Johnson revoked Emken’s bail and ordered that a warrant be issued for his arrest.

Possession of methamphetamine

— Jesse A. Fosbinder, 41, Madison County Jail, granted motion to continue pretrial.

— Ryan L. Gray, 29, 414 Hastings Ave., had filed a motion to continue his preliminary trial.

– Skyler J. Hungerford, 31, 306 W. Indiana Ave., had filed a motion to continue his preliminary trial.

— Darlene Kitto, 25, Madison County Jail, appeared after being arrested on a warrant. Johnson set Kitto’s bail at $10,000.

Possession of cocaine, reckless driving

– Erick Garcia Hernandez, 26, Madison, filed a motion to continue his pretrial and the trial continued.

Terrorist threats, unlawful entry

– Justin L. Jurgensen, 28, 802 Woodcrest St., pleaded not guilty to both charges.

Driving While Intoxicated (Test Refusal) — Third Offense, Chemical Test Refusal — Third Offense, Driving Under Suspension — Two Demerits, Carrying a Concealed Weapon, Driving While Intoxicated (0.15 Grams or More) — Fourth Offense

– Corwin M. Latchie, 45, 1704 W. Pasewalk Ave., Apt. 2, had filed a motion to continue his pretrial.

Theft by Deception ($5,000 or more)

— Jeremy D. Lawson, 48, Madison County Jail, will stand trial in December. A pre-trial hearing was scheduled for November.

Theft by receiving stolen property ($5,000 or more), criminal mischief ($5,000 or more), operating a motor vehicle to avoid arrest, possession of lorazepam, driving under the influence – third offense, driving while revoked, obstructing a police officer

— Miguel A. Martinez, 20, 825 W. Benjamin Ave., had a motion to continue his preliminary trial.

Attempted second-degree assault, terroristic threats

– Jessica D. McGraw, 35, 1103 N. 27th St., pleaded no contest to both charges.

Attempted tampering with a witness

– Rockie T. McGraw, 33, 1103 N. 27th St., pleaded no contest.

Possession of marijuana with intent to deliver

– Israel L. Mendoza, 19, 2506 Westside Ave., pleaded guilty.

– Jennifer E. Mundahl, 39, 910 W. Park Ave., filed a motion to continue her pretrial hearing.

Possession of a stolen firearm

– Kay L. Poe, 32, Madison, filed a motion to continue his preliminary trial.

Unauthorized use of a financial transaction device ($1,500-$5,000)

— Charlie Tosh Jr., 57, 519 Lincoln Ave., filed a motion to continue his pretrial hearing and the trial continued.

Possession of oxycodone, negligent child abuse

– Dana Webb, 37, 720 S. 11th St., pleaded not guilty to both charges.

Possession of Methamphetamine, Theft by Shoplifting ($0-$500) – Third Offense (two counts), Theft by Deception ($0-$500) – Third Offense

— Jessica Elznic, 46, Madison County Jail, had a bail reduction request denied.