Violation Details: 00294685-AP-248617

Records Request Print Provider Details
Date
10/18/2023
Report number
00294685-AP-248617
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
411-054-0025(1)(a) and (b)
411-054-0055(1)(a) and (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's condition worsening, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure AV's medication was administered properly, which is a violation of Oregon Administrative Rules.