Violation Details: 00201601-AP-162257

Records Request Print
Date
5/24/2022
Report number
00201601-AP-162257
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
411-054-0025(1)(a) and (b)
411-054-0027(1)(f) and (r)
411-054-0028(2)
411-054-0055(1)(a) and (f)
Findings
On or about January 8, 2021, the Alleged Victim (AV) received medication that was not his/her own. The medication made AV physically sick. Alleged Perpetrator #2 (AP2) was training a new person and was not closely watching the new staff to ensure the correct medication was given to AV. AP2's actions are a violation of resident rights, are considered neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system, which is a violation of Oregon Administrative Rules.