- Date
- 3/20/2019
- Report number
- 00023180AP-016535
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- AP1 neglected AV as defined in OAR 4110200002 (1)(b)(A)(i) by failing to oversee accuracy of the medication system to ensure medications were administered as ordered which resulted in a serious risk of harm to AV.