Violation Details: 00315545-AP-267774

Records Request Print
Date
2/27/2024
Report number
00315545-AP-267774
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to protect resident from financial exploitation
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)(a) and (b)
External site: 411-054-0055(1)(a) and (f)
Findings
On or about February 21, 2024, medication cart audits were completed AP1 at which time it was discovered AV's morphine had issues with the appearance. The pharmacy complete additional med cart audits, to find other missing/tampered with narcotics. Unknown Alleged Perpetrator 2 (AP2) diverted the medications. The Unknown AP2’s actions are a violation of resident’s rights, are considered neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system and failed to protect AV from financial exploitation which is a violation of Oregon Administrative Rules.