- Date
- 5/11/2023
- Report number
- 00263125-AP-218331
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) relies on the facility to manage his/her medications. According to an investigation, on or about May 12, 2023, Alleged Perpetrator 3 (AP3) gave AV the wrong medication. AV experienced emotional discomfort and was sent to have labs drawn and vitals monitored. AP3's actions are considered neglect and constitutes abuse. The facility failed to provide a safe medication administration system which violates Oregon Administrative Rules. The allegation that Alleged Perpetrator 2 (AP2) failed to provide appropriate services was investigated and determined to be not substantiated.