- Date
- 2/9/2024
- Report number
- 00312178-AP-264672
- 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 Alleged Perpetrator 2 (AP2) failed to provide a safe medication administration system to ensure the AV's medication was administered as ordered. The failure placed AV at risk of serious harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility's failure to ensure AV's medication was administered as ordered is a violation of Oregon Administrative Rules.