Violation Details: 00238389-AP-195475

Records Request Print
Date
12/27/2022
Report number
00238389-AP-195475
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: 411-054-0055(1)(a) and (f)
Findings
On or about December 24, 2022, Alleged Victim was discharged from the hospital back to the facility with directions to discontinue (DC) medications. AV was administered the DC medications for approximately two (2) days. The facility failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules. This is the facility's second violation of this kind within a six month time frame. Further rule violation(s) may result if civil penalties or further corrective action.