Violation Details: 00299589-AP-253002

Records Request Print
Date
11/30/2023
Report number
00299589-AP-253002
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)(r)
External site: 411-054-0055(1)(a) and (f)
Findings
On or about November 30, 2023, Alleged Perpetrator #2 (AP2) administered blood pressure medication to the Alleged Victim (AV) which was not his/hers. AV had his/her blood pressure medication earlier in the day, so this medication could cause adverse reaction to AV. AP2 monitored AV's vitals, which dropped to a dangerous level. AV was transported to the hospital for evaluation. AV experienced dizziness, shortness of breath and felt as if he/she was going to die. AP2's actions are a violation of resident rights, are considered neglect of care and constitute emotional abuse. The facility's failure is a violation of Oregon Administrative Rules.