Violation Details: 00222508-AP-181205

Date
9/22/2022
Report number
00222508-AP-181205
Type
Licensing Violation
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Findings
Alleged Perpetrator 2 (AP2) failed to provide a safe medication administration system to ensure The Alleged Victim’s (AV) medications were administered as ordered. On or about September 22, 2022, AP2 administered AV medication that belonged another resident placing him/her at risk of serious harm. AP2's actions are 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.