Violation Details: 00220763-AP-179520

Records Request Print
Date
9/11/2022
Report number
00220763-AP-179520
Type
Licensing Violation
Level
3 - Moderate harm or potential for serious 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(1)
External site: 411-054-0040(1)(b) and (c)
External site: 411-054-0055(1)(a) and (f)
Findings
On or about September 11, 2022, Alleged Perpetrator #2 (AP2) measured the Alleged Victim's (AV) blood glucose levels and they were at 53. AP2 failed to follow facility protocol for hypoglycemic incident and instead administered diabetic medication, which placed AV at risk for serious harm. AV was sent to the hospital and diagnosed with hypoglycemia. AP2's actions are a violation of resident rights, are considered neglect of care and constitute abuse. The facility's failure is a violation of Oregon Administrative Rules.