Violation Details: 00275861-AP-238421

Records Request Print
Date
7/16/2023
Report number
00275861-AP-238421
Type
Abuse: Neglect
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 July 18, 2023, Alleged Perpetrator 2 (AP2) gave AV blood pressure medication that was prescribed to another resident. As a result, AV was transported to the hospital and his/her blood pressure dropped while at the hospital. AP2 failed to provide a safe medication administration system for AV, which is neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system for AV, which is a violation of Oregon Administrative Rules.
Sanction
RCFCP23-01568 $1000.00 fine assessed