Violation Details: 00169585-AP-134553

Records Request Print
Date
11/5/2021
Report number
00169585-AP-134553
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)(r)
Findings
According to documentation, the Alleged Perpetrator 2 failed to provide a safe medication administration system to ensure the AV's medication was administered as ordered. The failure resulted in AV missing a couple doses of his/her antibiotics which placed him/her at risk of harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to protect AV from neglect, which is a violation of Oregon Administrative Rules.