Violation Details: 00320180-AP-272017

Records Request Print
Date
3/19/2024
Report number
00320180-AP-272017
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: 411-054-0055(1)(a) and (b)
Findings
On or about March 19, 2024, Alleged Victim (AV) was administered the incorrect dosage of a newly ordered medication. AV suffered no adverse side effects of medication error. Based on interviews and facility documentation, the facility failed to administer medications to AV as ordered which is a violation of Oregon Administrative Rules. Alleged Perpetrator 2 (AP2) allegedly neglected AV. An investigation determined no abuse occurred.