Violation Details: 00327779-AP-279121

Records Request Print
Date
4/28/2024
Report number
00327779-AP-279121
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), 411-054-0027(1)(g) and (s), 411-054-0028(2)
Findings
The Alleged Victim (AV) relies on the facility to administer his/her medications. According to an investigation, on or about April 29, 2024, multiple doses of AV's pain medication was missing. The unknown Alleged Perpetrator 3 (AP3) did not report the missing doses, resulting in AV being without pain medication for several days and causing unreasonable discomfort. AP3's actions are a violation of resident's rights, are considered neglect of care and constitutes financial exploitation. The facility failed to protect AV from financial exploitation, which is a violation of Oregon Administrative Rules. The allegation that Alleged Perpetrator 2 (AP2) financially exploited AV was investigated and determined to be not substantiated.