Violation Details: 00345076-AP-295597

Records Request Print
Date
7/13/2024
Report number
00345076-AP-295597
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) and (s)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
The Alleged Victim (AV) relies on the facility to manage his/her medications. According to an investigation, on or about July 13, 2024, when AV requested his/her PRN pain medication, Alleged Perpetrator 2 (AP2) administered AV’s PRN behavior medication in a higher dosage than prescribed in error and as a result, AV experienced increased lethargy. AP2’s actions are a violation of resident rights, are considered neglect of care and constitutes abuse. The facility failed to administer medication as ordered, which is a violation of Oregon Administrative Rules. The allegation that the medication resulted in AV’s rapid decline to death, was investigated and determined to be not substantiated.