Violation Details: 00130087-AP-101589

Records Request Print
Date
1/15/2021
Report number
00130087-AP-101589
Type
Abuse: Neglect
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: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
Alleged Victim (AV) relies on the facility for medication management. AV was not given h/her blood pressure medication 6 times in January 2021, 7 times in February 2021, and 7 times in March 2021, putting AV at risk for serious harm. The facility failed to provide a safe medication administration system, which is a violation of residents’ rights is neglect of care and constitutes abuse as defined in OAR 411-020-0002(1)(b)(A)(ii).