- Date
- 8/10/2022
- Report number
- 00215502-AP-174704
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- On or about August 9, 2022, Alleged Perpetrator 3 (AP3) did not follow proper procedure and left medication unattended, which resulted in the Alleged Victim (AV) taking medication that did not belong to him/her. On or about August 10, 2022, Alleged Perpetrator 2 (AP2) did not follow proper procedure and left medication unattended, which resulted in AV taking medication that did not belong to him/her. AV experienced side effects due to the medication errors. AV was AP2 and AP3's actions are considered neglect and constitutes abuse. The facility failed to provide a safe medication administration system which violates Oregon Administrative Rules.