Violation Details: 00169762-AP-134701

Records Request Print
Date
11/1/2021
Report number
00169762-AP-134701
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: 411-054-0055(1)(a) and (f)
Findings
The facility failed to provide a safe medication administration system which resulted in Alleged Victim (AV) not receiving his/her blood thinner as ordered from November 2, 2021 through November 10, 2021. Based on facility documentation and interviews, AV failed to receive his/her correct medication according to the dosage, route, frequency and time as described in the medical order. The facility's failure is a violation of Oregon Administrative Rules.