- Date
- 9/26/2020
- Report number
- 00104787-AP-079939
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- The facility failed to provide safe medication administration system to ensure the AV's medications were administered as ordered. The failure resulted in AV getting another residents medication exposing him/her to risk of harm, which is a violation of Oregon Administrative Rules.