- Date
- 8/18/2024
- Report number
- 00349326-AP-299695
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- Alleged Victim (AV) relies on the facility for h/h care. According to an investigation, AV was given their last dose of medication for restlessness on August 18, 2024 at approximately 2 pm and the Alleged Perpetrator 2 (AP2) was told to call to get more medication delivered to the facility immediately. AV’s medication did not arrive by the next scheduled dose that evening, and when someone else called for a follow-up, it was indicated the medication was never ordered, and it could not be delivered until the next day. AV missed their 7 pm dose on August 18, 2024, resulting in AV being more easily awakened and restless, then overly drowsy the next day. 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.