Violation Details: 00104201-AP-079478

Records Request Print
Date
9/10/2020
Report number
00104201-AP-079478
Type
Licensing Violation
Level
3 - Moderate harm or potential for serious 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: 411-054-0027(1)(r)
Findings
The Alleged Perpetrator 2 failed to provide a safe medication administration system to ensure the Alleged Victim's (AV) medications were administered as ordered. The failure resulted in AV receiving another resident's medication and was transferred to the hospital for treatment for the side effects, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to protect AV from neglect, which is a violation of Oregon Adminstrative Rules.