- 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.