- Date
- 4/28/2023
- Report number
- 00260908-AP-216069
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to administer medication as ordered
- Result
- Substantiated
- Findings
- According to an investigation, Alleged Perpetrator 2 (AP2) did not give the Alleged Victim (AV) several doses of his/her critical medications on multiple occasions, placing AV at risk for serious harm. AP2's actions are considered neglect and constitutes abuse. The facility failed to provide a safe medication administration system which violates Oregon Administrative Rules.