Violation Details: 00175701-AP-139506

Records Request Print
Date
12/20/2021
Report number
00175701-AP-139506
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 medications. On or about December 20, 2021, Alleged Perpetrator 2 (AP2) did not give AV his/her 8:00 pm medication. AP2 failed to provide medication that he/she pre-poured and that was supposed to be given within a two-hour window per company policy. AV was in pain due to the missed medications. AP2 failed to provide a safe medication administration system, which is neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system for AV, which is a violation of Oregon Administrative Rules.