Violation Details: 00147832-AP-116905

Records Request Print
Date
7/1/2021
Report number
00147832-AP-116905
Type
Licensing Violation
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to administer medication as ordered
Result
Substantiated
Rule(s) Violated
External site: 411-054-0027(1)(f)
External site: 411-054-0055(1)(a) and (f)
Findings
Alleged Victim (AV) relies on the facility to manage his/her medications. On or about July 1, 2021, Alleged Perpetrator 2 (AP2) did not follow proper procedure for medications and gave AV the wrong medication. AV experienced side effects due to the medication and had to be sent to the hospital. AP2's actions are considered neglect and constitutes abuse. The facility failed to provide a safe medication administration system which violates Oregon Administrative Rules.