Violation Details: 00111488-AP-085917

Records Request Print
Date
11/6/2020
Report number
00111488-AP-085917
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: 411-054-0055(1)(a) and (f)
Findings
The Alleged Perpetrator 2 (AP2) and Alleged Perpetrator 3 (AP3) 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 residents medication causing side effects, and AV being transferred to the hospital until his/her vitals returned to normal, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to provide safe medication administration, which is a violation of Oregon Administrative Rules.