- Date
- 5/1/2022
- Report number
- 00197964-AP-158802
- Type
- Licensing Violation
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- On or about April 30, 2022, Alleged Perpetrator 2 (AP2) failed to follow proper medication procedure on more than one occasion. During one of the administrations, the Alleged Victim's (AV) narcotic PRN fell on the floor. AP2 did not believe the pill fell on the floor, which resulted in AV searching the floor for approximately an hour, causing AV to experience unreasonable discomfort and loss of dignity. When AV let AP2 know that he/she found the pill, AP2 took it out of the room instead of giving it to AV. During another administration, AV was to be given two medications together, but AV was only given one, which resulted in AV experiencing an allergic reaction, causing emotional discomfort and loss of personal dignity. AP2's actions are considered neglect and constitutes abuse. The facility failed to provide a safe environment, which violates Oregon Administrative Rules.