Violation Details: 00337855-AP-288737

Records Request Print
Date
6/19/2024
Report number
00337855-AP-288737
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: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
On or about June 19, 2024 Alleged Perpetrator (AP2) gave Alleged Victim (AV) another residents medications. AP2 notified the facility LPN who advised AP2 to call 911 and have AV taken to the hospital for evaluation. AV was not initially transported to the hospital but later felt dizzy and was then taken to the hospital. AP2 was trained by the facility on proper medication administration in April 2024. The facility failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules.