Violation Details: 00282293-AP-236940

Records Request Print Provider Details
Date
8/19/2023
Report number
00282293-AP-236940
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to administer medication as ordered
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b)
411-054-0055(1)(f)
Findings
The Alleged Perpetrator 3 failed to ensure the Alleged Victim's (AV) medication was administered as ordered when s/he failed to discontinue AV's medication. The failure resulted in AV receiving two additional doses of his/her medication causing risk of harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility's failure to provide a safe medication administration system is a violation of Oregon Administrative Rules.