Date: 3/26/2014
Report Number: OR0000886002
Allegation: Failed to provide a safe medication administration system
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Description: Resident 1 was readmitted 3/1/2014 with multiple diagnoses including new and primary diagnosis of grand mall seizures. Resident physician orders included Dialantin and record review found 15 refusals of medication between 3/1/2014 and 3/31/2014. Review found no evidence the physician or family were notified or other measures were attempted. The resident was readmitted to the hospital from dialysis. Relevant portions of the survey are attached. Enforcement action was recommended. Oregon Rule violations occurred.
Rule(s) Violated: 411-086-0110
411-086-0200(3)(b)
Result: Substantiated
Findings: The facility failed to administer medications according to physician's orders.