Violation Details: 00176160-AP-139880A

Records Request Print
Date
12/21/2021
Report number
00176160-AP-139880A
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to assure resident was safe
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(r)
Findings
According to documentation, the Alleged Perpetrator 2 (AP2) failed to provide a safe medication administration system and falsified documentation to show AV received pain medication though it was not administered. The failure placed AV at risk of harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure the resident was safe from neglect, which is a violation of Oregon Administrative Rules.