Violation Details: 00146264-AP-115724

Date
6/18/2021
Report number
00146264-AP-115724
Type
Licensing Violation
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 to manage his/her medications. On or about June 18, 2021, Alleged Perpetrator 2 (AP2) did not follow proper procedure for medications and gave AV an incorrect dosage of medication. AV experienced side effects due to the incorrect dosage. AP2's actions are considered neglect and constitutes abuse. The facility failed to provide a safe medication administration system which violates Oregon Administrative Rules.