Violation Details: 00349524-AP-299908

Records Request Print
Date
8/17/2024
Report number
00349524-AP-299908
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)
External site: 411-054-0055(1)(a)
Findings
Alleged Victim (AV) relies on the facility for h/h care. According to an investigation, AV's psychotropic and anti-anxiety medication dosages had recently been changed. On or about August 17, 2024, and again on August 18, 2024, the Alleged Perpetrator 2 (AP2) gave AV the incorrect dose of these medications, resulting in AV having increased anxiety/agitation. AP2 failed to administer medications as ordered, causing increased anxiety/agitation, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to provide a safe medication system which is a violation of Oregon Administrative Rules.