- Date
- 4/17/2019
- Report number
- 00027306AP-019320
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- Facility, in not preventing an altercation involving AV, actively or passively failed to provide the basic care or services necessary to maintain the health and safety of an adult, when that failure results in physical harm, significant emotional harm, unreasonable discomfort, or serious loss of personal dignity to the adult, as defined on OAR 4110200002 (1) (b) (A) (i).