Violation Details: 00213758-AP-173076

Records Request Print
Date
7/5/2022
Report number
00213758-AP-173076
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
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
On or about July 5, 2022, the Alleged Victim (AV) was experiencing behaviors, for which AV has medication for. AV is known to refuse medications. On this date, Alleged Perpetrator #2 (AP2) held AV's arms down to administer medication to AV. AV was flailing, turning his/her head and stating "no". AP2 placed medications in AV's mouth even though he/she was refusing. AP2's actions are a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to protect AV from Chemical restraint, which is a violation of Oregon Administrative Rules.