- Date
- 4/9/2024
- Report number
- 00325688-AP-277201
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- According to documentation, the Alleged Perpetrator 2 (AP2) failed to ensure AV's medication was administered as ordered. The failure resulted in AV going without his/her medication, causing unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system, which is a violation of Oregon Administrative Rules