Violation Details: 00302726-AP-255741

Records Request Print
Date
11/22/2023
Report number
00302726-AP-255741
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)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
Alleged Victim (AV) relies on the facility for h/h care. AV has parameters for a certain medication. The medication should be held if under a certain number. On or about November 22, 2023, AV’s [parameter] was under that certain number, meeting the criteria for holding medication. AP2 administered AV medication, there was no negative outcome to AV as a result of the medication administration. AP2’s, and the Facility actions failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules.