Violation Details: 00342935-AP-293550

Records Request Print
Date
1/8/2025
Report number
00342935-AP-293550
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to administer medication as ordered
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)(f)
Findings
The Alleged Victim (AV) relies on the facility for care and is care planned to have medication administration done by the facility. On or about January 8, 2025, the Alleged Perpetrator 2 (AP2) was observed giving AV 0.5 ml dose of an antiseizure medication instead of the prescribed dose of 5.0 ml. According to an investigation, AP2 indicated they had always given that dose and were not sure how many times the lower dose was given. It is estimated that AP2 potentially gave AV the lower dose approximately 16 times between December 4, 2024 and January 8, 2025, placing AV at risk for harm. AP2's actions are considered neglect and constitutes abuse. The facility failed to ensure medications were administered as ordered, which violates Oregon Administrative Rules.