Violation Details: 00154374-AP-122284

Records Request Print
Date
8/7/2021
Report number
00154374-AP-122284
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: 411-054-0027(1)(f) and (r)
External site: 411-054-0054(1)(a) and (f)
External site: 411-054-028(2)
Findings
Alleged Victim (AV) relies on the facility to administer his/her medications. On or about August 7, 2021, Alleged Perpetrator 2 (AP2) had just completed training and was doing medication pass and gave AV the wrong medication as well as his/her medication. The next day AV reported feeling dizzy and with vision problems. AV was sent to the hospital. AP2 failed to provide a safe medication administration system, which is neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system, which is a violation of Oregon Administrative Rule.