Violation Details: 00247272-AP-203351

Records Request Print
Date
2/15/2023
Report number
00247272-AP-203351
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: 411-054-0027(1)(f) and (r)
External site: 411-054-0055(1)(a) and (f)
External site: 411-054-0070(1) and (2)
Findings
On or about February 15, 2023, it was discovered through documentation review that the Alleged Victim (AV) had not received his/her mood altering medication for 30 days or more. Alleged Perpetrator #2 (AP2) was a newer employee and did not understand that he/she needed to check that particular time frame for medication pass. AV did not have any adverse reaction noted, however, missing medication could place AV at risk for harm. The facility failure to provide a safe medication administration system is a violation of Oregon Administrative Rules.