Violation Details: 00138197-AP-108741

Records Request Print
Date
3/16/2021
Report number
00138197-AP-108741
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) and (r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
On or about March 16, 2021, the Alleged Perpetrator #2 (AP2) administered incorrect medication to the Alleged Victim (AV). AV did not have adverse side effects, however, AP2's actions placed AV at risk for harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility's failure is a violation of Oregon Administrative Rules.