Violation Details: 00170301-AP-135153

Records Request Print
Date
11/14/2021
Report number
00170301-AP-135153
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: 411-054-0025(1)(a) and (b)
External site: 411-054-0055(1)(a) & (f)
Findings
Alleged Victim (AV) relies on the facility to manage his/her medications. On or about November 14, 2021, Alleged Perpetrator 2 (AP2) did not follow proper procedure and gave AV the wrong medication, which resulted in AV being 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.