- Date
- 4/16/2021
- Report number
- 00135121-AP-106070
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to administer medication as ordered
- Result
- Substantiated
- Findings
- Alleged Victim (AV) relies on the facility for his/her care. The facility failed to provide a safe medication administration system to ensure AVs physician orders were followed for discontinuation of a medication that AV experienced a side effect from. The facility failed to provide a safe medication administration system to ensure AV received needed medication for blood pressure. In both incidents AV experienced unreasonable discomfort which is a violation of resident’s rights, is neglect of care and constitutes abuse as defined in OAR 411-020-0002(1)(b)(A)(i),
- Sanction
- ALFCP21-02861 $500.00 fine assessed