Violation Details: 00174742-AP-138751

Records Request Print
Date
11/16/2021
Report number
00174742-AP-138751
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: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
Alleged Victim (AV) relies on the facility to administer his/her medication. On or about November 13, 2021, Alleged Perpetrator 2 (AP2) grabbed the wrong medication from the medication cart and administered the wrong blood sugar medication to AV. AP2 failed to provide a safe medication administration system to AV, 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 Rules.