Violation Details: 00118344-AP-091770

Records Request Print
Date
12/29/2020
Report number
00118344-AP-091770
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate 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 safely administer medication to the Alleged Victim (AV). The failure resulted in AV receiving another residents medication and was sent to the hospital in a sedated state until the medication metabolized, which is a violation of resident rights, 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.