Violation Details: 00189409-AP-151230

Records Request Print
Date
3/16/2022
Report number
00189409-AP-151230
Type
Licensing Violation
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Rule(s) Violated
External site: 411-054-0055(1)(a)
Findings
The Alleged Perpetrator 2 (AP2) gave the Alleged Victim (AV) the wrong medications. AV was then transferred to the hospital for continuing monitoring, due to the risk of serious harm. AP2 failed to protect the AV from the risk of serious harm and his/her actions are considered neglect, and constitutes abuse. The facility failed to provide a safe medication system which violates Oregon Administrative Rules.