Violation Details: 00247144-AP-203226

Records Request Print
Date
2/15/2023
Report number
00247144-AP-203226
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)
Findings
On or about February 15, 2023, Alleged Perpetrator 2 (AP2) administered medication to Alleged Victim (AV) that he/she has a documented allergy to which caused AV suffered unreasonable discomfort. Based on facility documentation and interviews, it was determined that AP2 failed to follow facility medication procedures and failed to follow AV's physician orders. AP2's actions is considered neglect of care which constitutes abuse. The facility failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules.