Date: 6/12/2015
Report Number: OR0000975701
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 admitted March 2015 with diagnoses including anxiety. The resident was admitted with physician orders for Lorazapam. The resident was assessed to be alert, oriented and able to direct his/her care, but was not included in discussion regarding the risks versus the benefit for the use of anti anxiety medication. Relevant portions of the survey are attached. Enforcement was proposed. Oregon Administrative Rule violations occurred.
Rule(s) Violated: 411-085-0310(4)
411-086-0140
Result: Substantiated
Findings: The facility failed to provide the necessary care and services related to the effects of medications.