- Date
- 5/1/2020
- Report number
- 00085762-AP-064057
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- On three separate occasions, Alleged Perpetrator #2 (AP2) failed to administer the Alleged Victim's (AV) medication as ordered, which places AV at a risk for harm. According to documentation, AV experienced no negative outcome. AP2's actions are considered neglect of care which constitutes abuse. The Facility failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules.