Violation Details: 00302729-AP-255744

Records Request Print
Date
12/4/2023
Report number
00302729-AP-255744
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. AV’s parameters state if AV’s [medical parameters are higher than an established number], medication should be administered. On or about December 04, 2023, AV’s [medical parameters were higher than that established number] and medication should have been administered. AP2 did not administered AV medication, there was no negative outcome to AV as a result of the lack of medication administration. AP2’s, and the Facility actions failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules.