- Date
- 4/17/2022
- Report number
- 00211793-AP-171333
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) moved into the building on March 9, 2022. AV was assessed by Alleged Perpetrator #2 (AP2) prior to move in and was approved for move in by AP2. AP2 delegated staff to administer AV's diabetic medication. AV's blood glucose levels were very sporadic and unpredictable. AP2 was made aware by staff that AV's blood glucose was very sporadic and at times extremely low, between 38 and 60 and other times in the 300's. AP2 did not address this issue and did not contact AV's physician regarding this issue. AV suffered multiple falls and a blackout due to low blood glucose levels. AP2’s actions are a violation of resident rights, are considered neglect of care and constitute abuse. The facility failed to provide a safe medication administration system, which is a violation of Oregon Administrative Rules.
- Sanction
- ALFCP22-00993 $500.00 fine assessed