Violation Details: 00285493-AP-239875

Records Request Print
Date
9/13/2023
Report number
00285493-AP-239875
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: 411-054-0055(1)(a) and (f)
Findings
On or about September 13, 2023, the facility failed to provide a safe medication administration system which resulted in Alleged Victim (AV) missing one dose of his/her insulin due to the insulin not being available. The facility's failure is a violation of Oregon Administrative Rules.