- Date
- 9/25/2023
- Report number
- 00287719-AP-241865
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- On or about September 25, 2023, Alleged Victim (AV) did not receive his/her correct medication according to the dosage, route, frequency, and time as described on AV's medical order. The facility's failure to provide a safe medication administration system is a violation of Oregon Administrative Rules. Alleged Perpetrator 2 (AP2) allegedly neglected AV. An investigation determined no abuse occurred by AP2.