Violation Details: 00193432-AP-154756

Records Request Print
Date
4/6/2022
Report number
00193432-AP-154756
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: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
On or about March 22, 2022, the Alleged Victim's (AV) physician ordered seizure medication for AV, to be used in conjunction with another medication until the end of the month. At the end of the month, AV's medications were discontinued by Alleged Perpetrator #2 (AP2) and AV received no seizure medication for approximately 6 days, placing AV at risk for harm. AP2's actions are a violation of resident rights, are considered neglect of care and constitute abuse. The facility's failure to provide a safe medication administration system is a violation of Oregon Administrative Rules.