Violation Details: 00011615-AP-008337

Records Request Print
Date
12/11/2018
Report number
00011615-AP-008337
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Rule(s) Violated
External site: 411-054-0055(1)(a) and (f)
Findings
Alleged Victim (AV) requires facility assistance with medication administration. On or about December 11, 2018, the facility receives an order that changed the type of release to one of AV's medications. The facility did not implement this order and AV received the wrong type of release medication December 12, 2018 through December 11, 2018. AV did not have any type of negative outcome due to the medication error. The facility failed to provide a safe medication administration system, which is a violation of Oregon Administrative Rules.