Violation Details: 00328060-AP-279407

Records Request Print
Date
4/27/2024
Report number
00328060-AP-279407
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) and (s)
External site: 411-054-0055(1)(a) and (f)
Findings
On or about April 27, 2024 and April 28, 2024, the Alleged Victim (AV) did not receive two medications during the med pass. Alleged Perpetrator #2 (AP2) and Alleged Perpetrator #3 (AP3) were not able to find the medication for AV to be able to pass the medications. AV's medications were available but couldn't be found by AP2 and AP3. The facility's failure to provide a safe medication administration system is a violation of Oregon Administrative Rules.