Violation Details: 00262758-AP-217900

Records Request Print
Date
5/12/2023
Report number
00262758-AP-217900
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: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
Alleged Victim (AV) relies on the facility to administer his/her medication. On or about May 12, 2023, Alleged Perpetrator 2 (AP2) administer the wrong insulin to AV when they did not verify the medication against the MAR. AP2 failed to provide a safe medication administration system, which is a neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system, which is a violation of Oregon Administrative Rules.
Sanction
RCFCP23-01208 $500.00 fine assessed