Violation Details: 00300486-AP-253825

Records Request Print
Date
10/15/2023
Report number
00300486-AP-253825
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: 411-054-0055(1)(a) and (f)
Findings
The Alleged Victim (AV) relies on the facility to manage his/her medications. On or about October 15, 2023, Alleged Perpetrator 2 (AP2) gave AV the incorrect pain medication, which resulted in AV experiencing an increase in pain. AP2's actions are considered neglect and constitutes abuse. The facility failed to provide a safe medication administration system which violates Oregon Administrative Rules.