Violation Details: 00102800-AP-078945

Records Request Print
Date
9/11/2020
Report number
00102800-AP-078945
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: 411-054-0025(1)(a) and (b)
External site: 411-054-0055(1)(a) and (f)
Findings
The Alleged Perpetrator 2 failed to provide a safe medication administration system to ensure the AV's medications were administered as ordered. The failure resulted in the AV experiencing unreasonable discomfort due to not receiving his/her evening medications, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure AV's medication was administered as ordered which is a violation of Oregon Administrative Rules.