Violation Details: 00207139-AP-167305

Records Request Print Provider Details
Date
6/23/2022
Report number
00207139-AP-167305
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
411-054-0025(1)(a) and (b)
411-054-0055(1)(a) and (b)
Findings
On or about June 23, 2023, Alleged Perpetrator 2 (AP2) gave Alleged Victim (AV) another resident's medication which resulted in AV becoming non-responsive and was taken to the hospital for treatment. AP2's action 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.