Violation Details: 00175852-AP-139652

Records Request Print Provider Details
Date
12/21/2021
Report number
00175852-AP-139652
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
The facility and Alleged Perpetrator #2 (AP2) failed to provide a safe medication administration system to ensure the Alleged Victim (AV) received his/her proper medication. On or about December 21, 2021, AP2 gave AV medication that did not belong to AV. AV was sent to the emergency room for observation. AP2's actions placed AV at risk for harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility's failure is a violation of Oregon Administrative Rules.