Violation Details: 00100574-AP-076401

Records Request Print
Date
8/28/2020
Report number
00100574-AP-076401
Type
Licensing Violation
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: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
Alleged Victim (AV) requires staff assistance with medication management, including administering medications. On or about August 28, 2020, AV requested an as needed pain medication. Alleged Perpetrator 2 (AP2) administered AV three of the incorrect medication, causing AV to go to the emergency room for observation and putting AV at risk for serious harm. AP2's actions are considered neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system, which is a violation of Oregon Administrative Rules.