- Date
- 11/6/2022
- Report number
- 00230753-AP-188663
- 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 November 06, 2022, the Alleged Perpetrator 2 (AP2) popped the Alleged Victim’s (AV) narcotic medication, however, according to documentation, AP2 did not sign out or initial AV’s bubble pack, resulting in AV's narcotic medications count being off. AP2’s actions are a violation of resident rights, are considered neglect of care and constitute financial abuse. The facility failed provide a safe medication administration system, which is a violation of Oregon Administrative Rules.