Violation Details: 00286889-AP-241105

Records Request Print
Date
9/21/2023
Report number
00286889-AP-241105
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: 411-054-0025(1)(a) and (b)
External site: 411-054-0055(1)(f)
Findings
The Alleged Perpetrator 2 failed to provide a safe medication administration system to ensure the AV's medication was administered as ordered. The failure resulted in AV going to the hospital for monitoring, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure AV's medication was safely administered, which is a violation of Oregon Administrative Rules.