- Date
- 5/27/2019
- Report number
- 00037185-AP-026101
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to administer medication as ordered
- Result
- Substantiated
- Findings
- On or about May 16, 2019, an order was received for Alleged Victim (AV) to have an anti-coagluation injection administered every evening starting on May 17, 2019. AV's service plan directs the anti-coagulation medication be given at the same time each day. On May 20, 2019, the medication administration record indicated a note of refusal, which was signed and documented on May 28, 2019 by Alleged Perpetrator 2 (AP2). On May 27, 2019, the medication administration record indicated a note of "hold/see progress notes" signed by AP2. AP2 documented in progress notes that she/he was unavailable to administer the medication. AP2 did not administer AV's medications as ordered which is considered neglect of care and constitutes abuse. The facility failed to ensure AV's medication was administered which is a violation of Oregon Administrative Rules.