Violation Details: 00227583-AP-185841

Records Request Print
Date
10/20/2022
Report number
00227583-AP-185841
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to administer medication as ordered
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f)
External site: 411-054-0028(2)
Findings
The Alleged Victim (AV) relies on the facility to manage his/her medications. On or about October 20, 2022, Alleged Perpetrator 2 (AP2) did not follow proper procedure for medications and gave AV an additional dose of narcotic pain medication, leaving AV at risk for serious harm. AP2's actions are considered neglect and constitutes abuse. The facility failed to provide a safe medication administration system which violates Oregon Administrative Rules.