Violation Details: 00295822-AP-249531

Records Request Print
Date
11/8/2023
Report number
00295822-AP-249531
Type
Licensing Violation
Level
4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
Findings
According to documentation, the AP2 failed to follow the Alleged Victim’s care plan and facility protocol to not deliver medication directly to AV. The failure resulted AV experiencing an overdose in medication and was sent the hospital and later passed away. AP2’s actions are considered neglect of care and constitutes abuse. The facility failed to protect AV from neglect, which is a violation of Oregon Administrative Rules.