Regulatory Action Details: CALMS - 00067955

Records Request Print
Effective date
12/12/2024
End date
1/27/2025
Reference number
CALMS - 00067955
Allegation
Failed to provide a safe medication administration system
Description
AP1 neglected AV as defined in OAR 411-020-0002(1)(b)(A)(i) by failing to adequately train AP2 in medication administration resulting in AV receiving the wrong dosage of medication and causing harm. AP2 neglected AV as defined in OAR 411-020-0002 (1)(b)(A)(i) by AP2 giving AV more medication than prescribed resulting in causing harm.
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(s)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(f)
External site: 411-054-0045(1)(f)(B)
External site: 411-054-0055(1)(a)(f)(i)
External site: 411-054-0070(1)(2)(a)
Findings
Facility failed to provide a safe medication administration system
Sanction
ALFCD24-01120