- 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.