Violation Details: 00176616-AP-140280

Records Request Print
Date
12/26/2021
Report number
00176616-AP-140280
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 medication. On or about December 26, 2021, AV was given another resident’s medication. Alleged Perpetrator 2 (AP2) was passing med when an emergency came up and while distracted, he/she passed the medicine to the wrong resident. 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, which is a violation of Oregon Administrative Rules.