Violation Details: 00211412-AP-170987

Date
7/19/2022
Report number
00211412-AP-170987
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to administer medication as ordered
Result
Substantiated
Findings
On or about July 19, 2022, Alleged Perpetrator 2 (AP2) did not follow proper procedure and gave the Alleged Victim (AV) the incorrect dosage of medication, which caused AV to experience unreasonable discomfort. AP2's actions are considered neglect and constitutes abuse. The facility failed to provide a safe medication administration system to ensure AV's medications were administered as ordered which violates Oregon Administrative Rules.