- Date
- 3/26/2019
- Report number
- 00024367AP-017410
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- The facility neglected AV as defined in OAR 4110200002(1)(b)(A)(i) by failing to administer medications to AV as ordered, which resulted in risk of serious harm.