Violation Details: 00218722-AP-177665

Records Request Print
Date
8/31/2022
Report number
00218722-AP-177665
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)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
On or about August 31, 2022 at approximately 8:55 am, Alleged Perpetrator 2 (AP2) gave Alleged Victim (AV) another resident's medications. AV was anxious and vomited later in the day. AP2 was provided training by the facility. The facility notified AVs PCP of the medication error on August 31, 2022. The allegation that AP2 failed to provide a safe medication administration system and administer medications to AV as ordered resulting in a serious risk of harm was investigated and the determination was not substantiated. The facility failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules.