Violation Details: 00174877-AP-138865

Records Request Print Provider Details
Date
12/14/2021
Report number
00174877-AP-138865
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
411-054-0025(1)(a) and (b)
411-054-0027(1)(r)
411-054-0028(2)
411-054-0055(1)(a) and (f)
Findings
On or about December 13, 2021, Alleged Perpetrator #2 (AP2) failed to administer the Alleged Victim's (AV) blood pressure medication, placing AV at risk for harm. AP2's failure is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules.