- Date
- 3/29/2023
- Report number
- 00254903-AP-210570
- 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 March 29, 2023, Alleged Perpetrator 2 (AP2) failed to ensure Alleged Victim's (AV) pain medications were administered as ordered. The failure caused AV unreasonable discomfort which is a violation of resident rights, 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.