Violation Details: 00135102-AP-106056

Records Request Print
Date
3/25/2021
Report number
00135102-AP-106056
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)(f)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
On or about March 25, 2021, Alleged Perpetrator #3 (AP3) gave the Alleged Victim (AV) medication that belonged to another resident. AP3 realized his/her mistake, notified Alleged Perpetrator #2 (AP2) who contacted AV’s Physician. AV did not have any negative consequences to this error, however, AV was placed at risk for harm. The facility failed to provide a safe environment, which is a violation of Oregon Administrative Rules.