Violation Details: 00323102-AP-274913

Records Request Print
Date
4/3/2024
Report number
00323102-AP-274913
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: 411-054-0055(1)(a) and (f)
Findings
The Alleged Victim (AV) relies on the facility to administer his/her medications. According to an investigation, on or about April 3, 2024, the Alleged Perpetrator 2 (AP2) failed to administer medication as ordered when he/she gave AV 10 mg of pain medication instead of 20 mg as ordered, resulting in AV experiencing pain and unreasonable discomfort. AP2's actions are considered neglect and constitutes abuse. The facility failed to provide appropriate services, which violates Oregon Administrative Rules.