Violation Details: 00330330-AP-281649

Records Request Print
Date
5/1/2024
Report number
00330330-AP-281649
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: 411-054-0030(1)(f)
External site: 411-054-0055(1)(a) and (f)
Findings
Alleged Perpetrator 2 (AP2) failed to provide a safe medication administration system to ensure The Alleged Victim's (AV) medications were administered as ordered. On or about May 1, 2024, AP2 administered AV medication that belonged another resident causing unreasonable discomfort and placing him/her at risk of serious harm. AV was transported to the emergency room as AV was found to be drowsy and "out of it".. AP2's actions are 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.