Violation Details: 00354332-AP-304663

Records Request Print Provider Details
Date
9/2/2024
Report number
00354332-AP-304663
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
411-054-0025(1)(a) and (b)
411-054-0055(1)(a) and (f)
Findings
Between September 2, 2024, and September 4, 2024, Alleged Victim (AV) was not administered his/her laxative medication as order. AV did not experience a risk of harm from missing a few doses of his/her laxative medication. However, the facility failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules. Alleged Perpetrator 2 (AP2) and Alleged Perpetrator 3 (AP3) allegedly neglected AV. An investigation determined no abuse occurred by AP2 and AP3.