Violation Details: 00175573-AP-139387

Records Request Print Provider Details
Date
12/13/2021
Report number
00175573-AP-139387
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)
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 and instead gave AV medication of another resident, the failure placed AV at risk of serious 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.