Violation Details: 00357875-AP-308311

Records Request Print Provider Details
Date
9/30/2024
Report number
00357875-AP-308311
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
411-054-0055(1)(a) and (f)
Findings
An investigation determined the facility failed to provide a safe medication administration system to ensure The Alleged Victim’s (AV) medications were administered as ordered. AV did not suffer a negative outcome as result of missing medications; however, the facility failed to ensure a safe medication administration system by failing to ensure staff are properly trained to complete refill orders. The facility's failure is violation of Oregon Administrative Rules.