Violation Details: 00261540-AP-216740

Records Request Print
Date
4/30/2023
Report number
00261540-AP-216740
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)
External site: 411-054-0055(1)(a) and (f)
Findings
On or about April 30, 2023, the facility failed to ensure adequate staff were available to administer medications to Alleged Victim (AV) as ordered. As a result of facility's failure to provide a safe medication administration system, AV missed a single administration of his/her medications which is a violation of Oregon Administrative Rules. Alleged Perpetrator 2 (AP2) allegedly neglected AV. An investigation determined no wrongdoing by AP2.