Violation Details: 00313799-AP-266155

Records Request Print Provider Details
Date
2/18/2024
Report number
00313799-AP-266155
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
411-054-0025(1)(a) and (b)
411-054-0027(1)(r)
411-054-0028(2)
411-054-0055(1)(a) and (f)
Findings
On or about February 18, 2024, the Alleged Victim (AV) was given medication that belonged to another resident. Alleged Perpetrator #2 (AP2) went to the medication cart and grabbed medication for a different resident and gave it to AV. AV was placed at risk of serious harm from receiving another residents medication. The next day, AV was reported to have been incontinent of bowel and was lethargic. AP2's actions are a violation of resident rights, are considered neglect of care and constitute abuse. The facility's failure to provide a safe medication administration system is a violation of Oregon Administrative Rules.
Sanction
RCFCP24-00630 $250.00 fine assessed