Violation Details: 00262213-AP-217352

Records Request Print
Date
5/9/2023
Report number
00262213-AP-217352
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: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
Alleged Perpetrator 2 (AP2) failed to provide a safe medication administration system to ensure the Alleged Victim's (AV) medications were administered as ordered. On or about May 01, 2023, to May 09, 2023, AP2 was giving AV extra doses of h/h medications resulting in AV feeling dizzy and causing unreasonable discomfort. AP2's actions are considered neglect of care and constitutes abuse. The facility failed to ensure AV medications were administered as ordered which is a violation of Oregon Administrative Rules.