Violation Details: 00260621-AP-215777

Records Request Print Provider Details
Date
4/28/2023
Report number
00260621-AP-215777
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
411-054-0025(1)(a) and (b)
411-054-0055(1)(a) and (f)
Findings
On or about April 28, 2023, Alleged Victim (AV) missed one dose of h/h insulin because facility staff gave AVs insulin needles to another resident when they moved out of the facility. The facility failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules.