- Date
- 1/25/2023
- Report number
- 00244940-AP-201201
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- According to the documentation, the Alleged Perpetrator (AP2) failed to update the MAR when signed physician’s orders were received on or about January 27, 2023, after the Alleged Victim (AV) moved into the facility. The failure resulted in the AV not receiving their medications for approximately six days and needed to be sent to the hospital for treatment, which is 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.