- Date
- 11/28/2023
- Report number
- 00298764-AP-252191
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- The facility failed to properly administer Alleged Victim's (AV) hypertension medication and dementia medication as ordered. According to documentation, AV missed these medications, five days in November 2023; however, AV did not experience a negative outcome. The facility failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules.