Violation Details: 00050717-AP-035296

Records Request Print
Date
8/2/2019
Report number
00050717-AP-035296
Type
Licensing Violation
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to assure resident was safe
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0055(1)(a) and (f)
Findings
Alleged Perpetrator 2 (AP2) failed to provide a safe medication administration system when s/he left approximately 16 pills unsupervised with residents. The failure resulted in the Alleged Victim (AV) ingesting the medication, experiencing unreasonable discomfort and was transferred to the hospital for treatment. AP2's actions are considered neglect of care and constitutes abuse. The facility failed to assure the safety of residents which is a violation of Oregon Administrative Rules.