Violation Details: 00198539-AP-159497

Records Request Print
Date
5/6/2022
Report number
00198539-AP-159497
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: 411-054-0025(1)(a) and (b)
External site: 411-054-0055(1)(a) and (f)
Findings
According to documentation, the AP2 failed to provide a safe medication administration system when s/he gave AV another resident's medication. The failure resulted in AV being transported to the hospital in a sedated state, which is a violation of resident rights, is considered neglect of care which constitutes abuse. The facility failed to provide a safe medication administration system, which is a violation of Oregon Administrative Rules.