Violation Details: 00003594AP-002676

Records Request Print
Date
8/2/2018
Report number
00003594AP-002676
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(b)
External site: 411-054-0027(1)(f)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
AP1 neglected AV as defined in OAR 4110200002 (1)(b)(A)(i), by administering medications in error, including multiple narcotics, which resulted in risk of serious harm.
Sanction
ALFCP19-045 $375.00 fine assessed