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Date
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2/4/2020
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Report Number
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00069878-AP-050864
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Allegation
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Failed to administer medication as ordered
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Type
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Licensing Violation
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Level
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2 - Minor harm or potential for moderate harm
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Description
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AP1 neglected AV as defined in OAR 411-020-0002(1)(b)(A)(ii) by failing to maintain an adequate medication administration system, which resulted in risk of serious harm to AV.
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Rule(s) Violated
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411-054-0025(1)(b)
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Result
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Substantiated
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Findings
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On or about February 1, 2020, Alleged Perpetrator 2 (AP2) administered a discontinued medication to Alleged Victim (AV) after AP2 was directed not to administer the medication. AP2's actions are considered neglect of care which constitutes abuse. The facility failed to provide a safe environment for AV which is a violation of Oregon Administrative Rules.