- Date
- 8/3/2022
- Report number
- 00214434-AP-173722
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- Alleged Perpetrator 2 (AP2) failed to ensure the Alleged Victim’s (AV) medications were administered as ordered, placing AV at risk for harm. On or about August 3, 2022, AP2 did not administer AV their medications, which included multiple medications that would help AV sleep, resulting in AV staying awake, having an unwitnessed fall, and being sent to the hospital. AP2’s actions are a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules.