Violation Details: 00327928-AP-279265

Records Request Print
Date
4/27/2024
Report number
00327928-AP-279265
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)(g)
External site: 411-054-0055(1)(a)(b) and (f), (2)
External site: 411-054-0070(5)(b)(G)
Findings
The Alleged Victim (AV) receives his/her medication from facility staff. On or about April 27, 2024, AV was not given his/her medication as ordered. AV's missed medications were not properly recorded on the facility medication administration system. Alleged Perpetrator #2 (AP2) failed to administer or record AV's medication. AP2 was not properly trained prior to providing medication administration. The facility's failure to provide proper training and have a safe medication administration system is a violation of Oregon Administrative Rules.