Violation Details: 00287504-AP-241671

Records Request Print
Date
9/24/2023
Report number
00287504-AP-241671
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: 411-054-0027(1)(f) and (r)
External site: 411-054-0055(1)(a) and (f)
Findings
The facility failed to provide a safe medication administration system for the Alleged Victim (AV). An investigation determined on or about September 24, 2023, AV was administered a full tab of medication, when order written for half-tab. AV received medication at 11:00am instead of 4:00pm. The facility failure is a violation of Oregon Administrative Rules.