Violation Details: 00056151AP-039528

Records Request Print
Date
9/3/2019
Report number
00056151AP-039528
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Rule(s) Violated
External site: 411-054-0027(1)(f)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
AP1 neglected AV as defined in OAR 4110200002 (1) (b)(A)(ii) by failing to ensure a safe medication administration system was implemented resulting in AV missing scheduled heart medications for four days and placing AV at risk of serious harm.
Sanction
ALFCP20-0086 $500.00 fine assessed