Violation Details: 00117923-AP-091337

Date
12/28/2020
Report number
00117923-AP-091337
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Findings
An investigation determined that Alleged Perpetrator 2 (AP2) neglected Alleged Victim (AV) by failing to follow AV's doctor's orders for his/her prescribed pain medication which resulted in the risk of harm to AV. AP2's actions is 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.