Violation Details: 00270699-AP-225581

Records Request Print Provider Details
Date
6/23/2023
Report number
00270699-AP-225581
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
411-054-0025(1)(a) and (b)
411-054-0027(1)(f) and (r)
Findings
The Alleged Perpetrator 2 failed to provide a safe medication administration system to ensure the Alleged Victim's medication was administered as ordered. The failure resulted in AV receiving his/her opioid medication approximately four hours early, causing risk of harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure AV's medication was administered as ordered which is a violation of Oregon Administrative Rules.