Violation Details: 00326642-AP-278073

Records Request Print
Date
4/9/2024
Report number
00326642-AP-278073
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: 411-054-0027(1)(s)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
The Alleged Victim (AV) receives his/her medication from facility staff. On or about April 9, 2024, AV received a double dose of his/her medication. Alleged Perpetrator #2 (AP2) gave AV his/her medication but forgot to sign off his/her medication as being given and another staff gave AV the same medication again. AV did not have any adverse effects from the double medication, however, AV was placed at risk for harm by being given the medication twice. AP2's actions are a violation of resident rights, are considered neglect of care and constitute abuse. The facility's failure is a violation of Oregon Administrative Rules.